Antigen therapy services at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$78.84
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.
$373.00
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.
$5.06 with KARNA vs $538.00 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 | $5.06 | ↓ -94% |
| AETNA | MANAGED MEDICAID | $49.61 | ↓ -37% |
| CLOVER | MEDICARE ADVANTAGE | $67.14 | ↓ -15% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $77.21 | ↓ -2% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $78.84 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $78.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $78.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $78.84 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $82.79 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $84.36 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $85.94 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $94.61 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $219.70 | ↑ +179% |
| QUALCARE | WORKERS COMP | $248.05 | ↑ +215% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $279.75 | ↑ +255% |
| BERGEN RISK | ALL PRODUCTS | $279.75 | ↑ +255% |
| HORIZON | OMNIA | $284.97 | ↑ +261% |
| HORIZON | PIP | $288.70 | ↑ +266% |
| HORIZON | WORKERS COMP | $290.72 | ↑ +269% |
| AETNA | ASA | $292.06 | ↑ +270% |
| CIGNA | BH | $298.40 | ↑ +278% |
| HORIZON | INDEMNITY | $313.43 | ↑ +298% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $317.05 | ↑ +302% |
| AMERIHEALTH | LOCAL HMO | $322.83 | ↑ +309% |
| AETNA | HMO | $335.70 | ↑ +326% |
| AETNA | PPO | $335.70 | ↑ +326% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $335.70 | ↑ +326% |
| QUALCARE | PPO | $338.68 | ↑ +330% |
| QUALCARE | HMO | $338.68 | ↑ +330% |
| HORIZON | SHP | $348.01 | ↑ +341% |
| HORIZON | HMO | $351.37 | ↑ +346% |
| CIGNA | HMO | $356.70 | ↑ +352% |
| CIGNA | PPO | $356.70 | ↑ +352% |
| HORIZON | PPO | $360.32 | ↑ +357% |
| AMERIHEALTH | REGIONAL HMO | $362.89 | ↑ +360% |
| OXFORD | ALL PRODUCTS | $387.00 | ↑ +391% |
| UNITED HEALTHCARE | HMO | $538.00 | ↑ +582% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Antigen therapy services at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $78.78 | $78.78 – $391.00 |
| Hackensack University Medical Center | Hackensack | $83.81 | $5.06 – $540.00 |
| Ocean University Medical Center | Brick | $77.78 | $4.94 – $391.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $78.84 | $5.06 – $641.00 |
| Jersey Shore University Medical Center | Neptune City | $78.78 | $4.94 – $411.00 |
| Palisades Medical Center | North Bergen | $83.81 | $5.06 – $803.00 |
| Riverview Medical Center | Red Bank | $78.78 | $4.94 – $396.00 |
| Southern Ocean Medical Center | Manahawkin | $77.78 | $4.94 – $393.00 |