Aep thrshld est mlt freq i&r at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$344.98
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.
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What you pay up front if you don't use insurance.
$1,811.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$159.53 with HORIZON vs $1,761.92 with AMERIHEALTH — same scan, same building. Share
Negotiated rates by payer
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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 →
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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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $159.53 | ↓ -54% |
| KARNA | MEDICARE ADVANTAGE | $195.17 | ↓ -43% |
| AETNA | MANAGED MEDICAID | $240.86 | ↓ -30% |
| UNITED HEALTHCARE | HMO | $322.00 | ↓ -7% |
| CLOVER | MEDICARE ADVANTAGE | $325.98 | ↓ -6% |
| VACCN | ALL PRODUCTS | $344.98 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $344.98 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $344.98 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $344.98 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $362.22 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $369.12 | ↑ +7% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $374.88 | ↑ +9% |
| AETNA | MEDICARE ADVANTAGE | $376.02 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $413.97 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,066.68 | ↑ +209% |
| OXFORD | ALL PRODUCTS | $1,096.92 | ↑ +218% |
| QUALCARE | WORKERS COMP | $1,204.32 | ↑ +249% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,358.25 | ↑ +294% |
| BERGEN RISK | ALL PRODUCTS | $1,358.25 | ↑ +294% |
| HORIZON | OMNIA | $1,383.60 | ↑ +301% |
| HORIZON | PIP | $1,401.71 | ↑ +306% |
| HORIZON | WORKERS COMP | $1,411.49 | ↑ +309% |
| AETNA | ASA | $1,418.01 | ↑ +311% |
| CIGNA | BH | $1,448.80 | ↑ +320% |
| HORIZON | INDEMNITY | $1,521.78 | ↑ +341% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,539.35 | ↑ +346% |
| AMERIHEALTH | LOCAL HMO | $1,567.42 | ↑ +354% |
| AETNA | PPO | $1,629.90 | ↑ +372% |
| AETNA | HMO | $1,629.90 | ↑ +372% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,629.90 | ↑ +372% |
| QUALCARE | PPO | $1,644.39 | ↑ +377% |
| QUALCARE | HMO | $1,644.39 | ↑ +377% |
| HORIZON | SHP | $1,689.66 | ↑ +390% |
| HORIZON | HMO | $1,705.96 | ↑ +395% |
| CIGNA | HMO | $1,731.86 | ↑ +402% |
| CIGNA | PPO | $1,731.86 | ↑ +402% |
| HORIZON | PPO | $1,749.43 | ↑ +407% |
| AMERIHEALTH | REGIONAL HMO | $1,761.92 | ↑ +411% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Aep thrshld est mlt freq i&r at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $344.68 | $304.00 – $465.00 |
| Hackensack University Medical Center | Hackensack | $366.72 | $195.17 – $487.00 |
| Ocean University Medical Center | Brick | $340.32 | $116.00 – $499.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $344.98 | $116.00 – $627.00 |
| Jersey Shore University Medical Center | Neptune City | $344.68 | $187.53 – $443.00 |
| Palisades Medical Center | North Bergen | $366.72 | $125.71 – $994.00 |
| Riverview Medical Center | Red Bank | $344.68 | $187.53 – $465.00 |
| Southern Ocean Medical Center | Manahawkin | $340.32 | $187.53 – $465.00 |