Ana ds-dna at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$12.11
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.
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What you pay up front if you don't use insurance.
$35.00
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.
$4.66 with AETNA vs $55.49 with CIGNA — 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 | $4.66 | ↓ -62% |
| WELLCARE | MEDICARE ADVANTAGE | $12.11 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $12.11 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $12.11 | ↑ +0% |
| VACCN | ALL PRODUCTS | $12.11 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $12.11 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $12.11 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $12.72 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $12.96 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $13.20 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $14.53 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $16.11 | ↑ +33% |
| QUALCARE | WORKERS COMP | $23.28 | ↑ +92% |
| AETNA | PPO | $24.08 | ↑ +99% |
| AETNA | HMO | $24.08 | ↑ +99% |
| UNITED HEALTHCARE | HMO | $24.86 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $24.86 | ↑ +105% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $26.25 | ↑ +117% |
| BERGEN RISK | ALL PRODUCTS | $26.25 | ↑ +117% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $26.58 | ↑ +119% |
| HORIZON | OMNIA | $26.74 | ↑ +121% |
| HORIZON | PIP | $27.09 | ↑ +124% |
| HORIZON | WORKERS COMP | $27.28 | ↑ +125% |
| AETNA | ASA | $27.41 | ↑ +126% |
| CIGNA | BH | $28.00 | ↑ +131% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $28.00 | ↑ +131% |
| HORIZON | INDEMNITY | $29.41 | ↑ +143% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $29.75 | ↑ +146% |
| AMERIHEALTH | LOCAL HMO | $30.29 | ↑ +150% |
| QUALCARE | PPO | $31.78 | ↑ +162% |
| QUALCARE | HMO | $31.78 | ↑ +162% |
| HORIZON | SHP | $32.66 | ↑ +170% |
| HORIZON | HMO | $32.97 | ↑ +172% |
| HORIZON | PPO | $33.81 | ↑ +179% |
| AMERIHEALTH | REGIONAL HMO | $34.05 | ↑ +181% |
| CIGNA | PPO | $55.49 | ↑ +358% |
| CIGNA | HMO | $55.49 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ana ds-dna at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $12.11 | $12.11 – $55.49 |
| Hackensack University Medical Center | Hackensack | $12.11 | $9.69 – $54.38 |
| Ocean University Medical Center | Brick | $12.11 | $12.11 – $55.49 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $12.11 | $12.11 – $56.99 |
| Jersey Shore University Medical Center | Neptune City | $12.11 | $9.69 – $55.49 |
| Palisades Medical Center | North Bergen | $12.11 | $12.11 – $55.49 |
| Riverview Medical Center | Red Bank | $12.11 | $12.11 – $55.49 |
| Southern Ocean Medical Center | Manahawkin | $12.11 | $12.11 – $55.49 |