#afb mycobacteria suscep. #1 at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$7.31
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.
$44.00
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.
$5.85 with AETNA vs $42.81 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $5.85 | ↓ -20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $7.31 | ↑ +0% |
| VACCN | ALL PRODUCTS | $7.31 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $7.31 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $7.31 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $7.31 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $7.31 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $7.68 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $7.82 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $7.97 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $8.77 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $9.72 | ↑ +33% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $12.41 | ↑ +70% |
| OXFORD | ALL PRODUCTS | $15.00 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $15.00 | ↑ +105% |
| QUALCARE | WORKERS COMP | $29.26 | ↑ +300% |
| AETNA | PPO | $30.27 | ↑ +314% |
| AETNA | HMO | $30.27 | ↑ +314% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $33.00 | ↑ +351% |
| BERGEN RISK | ALL PRODUCTS | $33.00 | ↑ +351% |
| CIGNA | HMO | $33.50 | ↑ +358% |
| CIGNA | PPO | $33.50 | ↑ +358% |
| HORIZON | OMNIA | $33.62 | ↑ +360% |
| HORIZON | PIP | $34.06 | ↑ +366% |
| HORIZON | WORKERS COMP | $34.29 | ↑ +369% |
| AETNA | ASA | $34.45 | ↑ +371% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $35.20 | ↑ +382% |
| CIGNA | BH | $35.20 | ↑ +382% |
| HORIZON | INDEMNITY | $36.97 | ↑ +406% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $37.40 | ↑ +412% |
| AMERIHEALTH | LOCAL HMO | $38.08 | ↑ +421% |
| QUALCARE | PPO | $39.95 | ↑ +447% |
| QUALCARE | HMO | $39.95 | ↑ +447% |
| HORIZON | SHP | $41.05 | ↑ +462% |
| HORIZON | HMO | $41.45 | ↑ +467% |
| HORIZON | PPO | $42.50 | ↑ +481% |
| AMERIHEALTH | REGIONAL HMO | $42.81 | ↑ +486% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
#afb mycobacteria suscep. #1 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $7.31 | $7.31 – $33.50 |
| Hackensack University Medical Center | Hackensack | $7.31 | $0.98 – $32.83 |
| Ocean University Medical Center | Brick | $7.31 | $0.80 – $33.50 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $7.31 | $0.80 – $34.40 |
| Jersey Shore University Medical Center | Neptune City | $7.31 | $5.85 – $33.50 |
| Palisades Medical Center | North Bergen | $7.31 | $1.08 – $33.50 |
| Riverview Medical Center | Red Bank | $7.31 | $0.76 – $33.50 |
| Southern Ocean Medical Center | Manahawkin | $7.31 | $7.31 – $33.50 |