Administration vaccine pneumococcal at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$51.11
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$99.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$13.17 with AETNA vs $96.32 with AMERIHEALTH — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $13.17 | ↓ -74% |
| CLOVER | MEDICARE ADVANTAGE | $17.82 | ↓ -65% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $20.49 | ↓ -60% |
| HORIZON | MANAGED MEDICAID | $33.65 | ↓ -34% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $51.11 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $51.11 | ↑ +0% |
| VACCN | ALL PRODUCTS | $51.11 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $51.11 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $51.18 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $53.67 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $54.69 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $55.72 | ↑ +9% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $58.31 | ↑ +14% |
| OXFORD | ALL PRODUCTS | $59.96 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $61.34 | ↑ +20% |
| QUALCARE | WORKERS COMP | $65.84 | ↑ +29% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $74.25 | ↑ +45% |
| BERGEN RISK | ALL PRODUCTS | $74.25 | ↑ +45% |
| HORIZON | OMNIA | $75.64 | ↑ +48% |
| HORIZON | PIP | $76.63 | ↑ +50% |
| HORIZON | WORKERS COMP | $77.16 | ↑ +51% |
| AETNA | ASA | $77.52 | ↑ +52% |
| CIGNA | BH | $79.20 | ↑ +55% |
| UNITED HEALTHCARE | HMO | $80.62 | ↑ +58% |
| HORIZON | INDEMNITY | $83.19 | ↑ +63% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $84.15 | ↑ +65% |
| AMERIHEALTH | LOCAL HMO | $85.68 | ↑ +68% |
| AETNA | PPO | $89.10 | ↑ +74% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $89.10 | ↑ +74% |
| AETNA | HMO | $89.10 | ↑ +74% |
| QUALCARE | HMO | $89.89 | ↑ +76% |
| QUALCARE | PPO | $89.89 | ↑ +76% |
| HORIZON | SHP | $92.37 | ↑ +81% |
| HORIZON | HMO | $93.26 | ↑ +82% |
| CIGNA | PPO | $94.67 | ↑ +85% |
| CIGNA | HMO | $94.67 | ↑ +85% |
| HORIZON | PPO | $95.63 | ↑ +87% |
| AMERIHEALTH | REGIONAL HMO | $96.32 | ↑ +88% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Administration vaccine pneumococcal at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $51.11 | $26.92 – $51.18 |
| Jersey Shore University Medical Center | Neptune City | $51.07 | $50.12 – $61.28 |
| Palisades Medical Center | North Bergen | $54.34 | $26.52 – $59.23 |
| Riverview Medical Center | Red Bank | $51.07 | $50.12 – $61.28 |
| Southern Ocean Medical Center | Manahawkin | $50.43 | $50.12 – $60.51 |