Arthrs kne srg drlg ost diss at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$7,913.97
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.
$14,169.00
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.
$1,648.02 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 | $1,648.02 | ↓ -79% |
| AETNA | MANAGED MEDICAID | $1,884.48 | ↓ -76% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -70% |
| HORIZON | MANAGED MEDICAID | $2,438.00 | ↓ -69% |
| CLOVER | MEDICARE ADVANTAGE | $2,550.42 | ↓ -68% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↓ -63% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,932.98 | ↓ -63% |
| CIGNA | HMO | $3,412.00 | ↓ -57% |
| CIGNA | PPO | $3,817.00 | ↓ -52% |
| AMERIHEALTH | LOCAL HMO | $5,096.28 | ↓ -36% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↓ -32% |
| AMERIHEALTH | REGIONAL HMO | $5,694.36 | ↓ -28% |
| HORIZON | WORKERS COMP | $6,415.00 | ↓ -19% |
| HORIZON | PIP | $6,602.00 | ↓ -17% |
| HORIZON | OMNIA | $7,185.00 | ↓ -9% |
| VACCN | ALL PRODUCTS | $7,913.97 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $7,913.97 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $7,913.97 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $7,913.97 | ↑ +0% |
| HORIZON | SHP | $8,229.00 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $8,309.67 | ↑ +5% |
| AETNA | PPO | $8,419.00 | ↑ +6% |
| AETNA | HMO | $8,419.00 | ↑ +6% |
| AMERIGROUP | MEDICARE ADVANTAGE | $8,467.94 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $8,626.22 | ↑ +9% |
| QUALCARE | HMO | $8,762.00 | ↑ +11% |
| HORIZON | HMO | $8,876.00 | ↑ +12% |
| HORIZON | INDEMNITY | $8,992.00 | ↑ +14% |
| HORIZON | PPO | $9,102.00 | ↑ +15% |
| QUALCARE | PPO | $9,347.00 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $9,496.76 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $10,626.75 | ↑ +34% |
| AETNA | ASA | $11,094.33 | ↑ +40% |
| CIGNA | BH | $11,335.20 | ↑ +43% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $12,043.65 | ↑ +52% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,984.00 | ↑ +102% |
| OXFORD | ALL PRODUCTS | $18,226.00 | ↑ +130% |
| UNITED HEALTHCARE | HMO | $23,041.00 | ↑ +191% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Arthrs kne srg drlg ost diss at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $7,907.11 | $7,907.11 – $15,984.00 |
| Hackensack University Medical Center | Hackensack | $8,412.89 | $1,648.02 – $8,833.53 |
| Ocean University Medical Center | Brick | $7,807.24 | $1,593.12 – $15,984.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $7,913.97 | $619.10 – $7,913.97 |
| Jersey Shore University Medical Center | Neptune City | $7,907.11 | $1,593.12 – $9,488.53 |
| Palisades Medical Center | North Bergen | $8,412.89 | $1,648.02 – $15,984.00 |
| Riverview Medical Center | Red Bank | $7,907.11 | $1,593.12 – $15,984.00 |
| Southern Ocean Medical Center | Manahawkin | $7,807.24 | $1,593.12 – $15,984.00 |