Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$327.02
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.
$2,355.00
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.
$0.01 with CIGNA vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| CIGNA | PPO | $0.01 | ↓ -100% |
| CIGNA | HMO | $0.01 | ↓ -100% |
| KARNA | MEDICARE ADVANTAGE | $95.68 | ↓ -71% |
| HORIZON | MANAGED MEDICAID | $102.25 | ↓ -69% |
| AETNA | MANAGED MEDICAID | $313.22 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $327.02 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $327.02 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $327.02 | ↑ +0% |
| VACCN | ALL PRODUCTS | $327.02 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $343.37 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $349.91 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $356.45 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $392.42 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $423.90 | ↑ +30% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $487.49 | ↑ +49% |
| AMERIHEALTH | LOCAL HMO | $606.70 | ↑ +86% |
| AMERIHEALTH | REGIONAL HMO | $677.90 | ↑ +107% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +264% |
| BERGEN RISK | ALL PRODUCTS | $1,766.25 | ↑ +440% |
| HORIZON | OMNIA | $1,799.22 | ↑ +450% |
| AETNA | ASA | $1,843.97 | ↑ +464% |
| CIGNA | BH | $1,884.00 | ↑ +476% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,001.75 | ↑ +512% |
| QUALCARE | PPO | $2,072.40 | ↑ +534% |
| QUALCARE | HMO | $2,072.40 | ↑ +534% |
| HORIZON | SHP | $2,197.22 | ↑ +572% |
| HORIZON | HMO | $2,218.41 | ↑ +578% |
| HORIZON | INDEMNITY | $2,249.03 | ↑ +588% |
| HORIZON | PPO | $2,274.93 | ↑ +596% |
| OXFORD | ALL PRODUCTS | $2,761.00 | ↑ +744% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↑ +791% |
| UNITED HEALTHCARE | HMO | $3,392.00 | ↑ +937% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↑ +1541% |
| HORIZON | WORKERS COMP | $6,415.00 | ↑ +1862% |
| HORIZON | PIP | $6,602.00 | ↑ +1919% |
| AETNA | PPO | $8,419.00 | ↑ +2474% |
| AETNA | HMO | $8,419.00 | ↑ +2474% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +2937% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $326.73 | $326.73 – $392.08 |
| Hackensack University Medical Center | Hackensack | $347.63 | $95.68 – $365.02 |
| Ocean University Medical Center | Brick | $322.61 | $93.08 – $512.28 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $327.02 | $81.80 – $512.28 |
| Jersey Shore University Medical Center | Neptune City | $326.73 | $93.08 – $392.08 |
| Palisades Medical Center | North Bergen | $347.63 | $80.57 – $378.92 |
| Riverview Medical Center | Red Bank | $326.73 | $93.08 – $392.08 |
| Southern Ocean Medical Center | Manahawkin | $322.61 | $93.08 – $387.13 |