Angioplasty fem/pop unilat 37224 at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$6,316.26
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.
$11,402.00
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.
$899.01 with KARNA vs $23,041.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $899.01 | ↓ -86% |
| AETNA | MANAGED MEDICAID | $1,516.47 | ↓ -76% |
| AETNA | MEDICARE ADVANTAGE | $1,767.31 | ↓ -72% |
| CLOVER | MEDICARE ADVANTAGE | $2,052.36 | ↓ -68% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,360.21 | ↓ -63% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -62% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,392.00 | ↓ -46% |
| HORIZON | MANAGED MEDICAID | $5,818.50 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $6,316.26 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $6,316.26 | ↑ +0% |
| VACCN | ALL PRODUCTS | $6,316.26 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $6,316.26 | ↑ +0% |
| HORIZON | WORKERS COMP | $6,415.00 | ↑ +2% |
| HORIZON | PIP | $6,602.00 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $6,632.07 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $6,758.40 | ↑ +7% |
| HORIZON | OMNIA | $7,185.00 | ↑ +14% |
| UNITED HEALTHCARE | DSNP | $7,579.51 | ↑ +20% |
| QUALCARE | WORKERS COMP | $7,582.33 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $7,765.76 | ↑ +23% |
| HORIZON | SHP | $8,229.00 | ↑ +30% |
| BERGEN RISK | ALL PRODUCTS | $8,551.50 | ↑ +35% |
| AMERIHEALTH | REGIONAL HMO | $8,677.12 | ↑ +37% |
| HORIZON | HMO | $8,876.00 | ↑ +41% |
| AETNA | ASA | $8,927.77 | ↑ +41% |
| HORIZON | INDEMNITY | $8,992.00 | ↑ +42% |
| HORIZON | PPO | $9,102.00 | ↑ +44% |
| CIGNA | BH | $9,121.60 | ↑ +44% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $9,691.70 | ↑ +53% |
| QUALCARE | PPO | $10,353.02 | ↑ +64% |
| QUALCARE | HMO | $10,353.02 | ↑ +64% |
| AETNA | PPO | $10,445.00 | ↑ +65% |
| AETNA | HMO | $10,445.00 | ↑ +65% |
| CIGNA | PPO | $10,903.73 | ↑ +73% |
| CIGNA | HMO | $10,903.73 | ↑ +73% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,920.00 | ↑ +89% |
| OXFORD | ALL PRODUCTS | $18,226.00 | ↑ +189% |
| UNITED HEALTHCARE | HMO | $23,041.00 | ↑ +265% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Angioplasty fem/pop unilat 37224 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $6,310.78 | $6,310.78 – $7,572.94 |
| Hackensack University Medical Center | Hackensack | $6,714.45 | $899.01 – $7,050.17 |
| Ocean University Medical Center | Brick | $6,231.08 | $881.98 – $14,806.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $6,316.26 | $899.01 – $14,806.00 |
| Jersey Shore University Medical Center | Neptune City | $6,310.78 | $881.98 – $7,572.94 |
| Palisades Medical Center | North Bergen | $6,714.45 | $899.01 – $7,318.75 |
| Riverview Medical Center | Red Bank | $6,310.78 | $881.98 – $7,572.94 |
| Southern Ocean Medical Center | Manahawkin | $6,231.08 | $881.98 – $7,477.29 |