Assay of lap enzyme at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$9.81
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.
$57.00
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.
$7.58 with AETNA vs $55.46 with AMERIHEALTH — 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 | $7.58 | ↓ -23% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $9.81 | ↑ +0% |
| VACCN | ALL PRODUCTS | $9.81 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $9.81 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $9.81 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $9.81 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $9.81 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $10.30 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $10.50 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $10.69 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $11.77 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $13.05 | ↑ +33% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $20.11 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $20.14 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $20.14 | ↑ +105% |
| QUALCARE | WORKERS COMP | $37.91 | ↑ +286% |
| AETNA | PPO | $39.22 | ↑ +300% |
| AETNA | HMO | $39.22 | ↑ +300% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $42.75 | ↑ +336% |
| BERGEN RISK | ALL PRODUCTS | $42.75 | ↑ +336% |
| HORIZON | OMNIA | $43.55 | ↑ +344% |
| HORIZON | PIP | $44.12 | ↑ +350% |
| HORIZON | WORKERS COMP | $44.43 | ↑ +353% |
| AETNA | ASA | $44.63 | ↑ +355% |
| CIGNA | PPO | $44.95 | ↑ +358% |
| CIGNA | HMO | $44.95 | ↑ +358% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $45.60 | ↑ +365% |
| CIGNA | BH | $45.60 | ↑ +365% |
| HORIZON | INDEMNITY | $47.90 | ↑ +388% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $48.45 | ↑ +394% |
| AMERIHEALTH | LOCAL HMO | $49.33 | ↑ +403% |
| QUALCARE | PPO | $51.76 | ↑ +428% |
| QUALCARE | HMO | $51.76 | ↑ +428% |
| HORIZON | SHP | $53.18 | ↑ +442% |
| HORIZON | HMO | $53.69 | ↑ +447% |
| HORIZON | PPO | $55.06 | ↑ +461% |
| AMERIHEALTH | REGIONAL HMO | $55.46 | ↑ +465% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Assay of lap enzyme at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $9.81 | $9.81 – $44.95 |
| Hackensack University Medical Center | Hackensack | $9.81 | $3.43 – $44.05 |
| Ocean University Medical Center | Brick | $9.81 | $2.31 – $44.95 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $9.81 | $2.31 – $46.17 |
| Jersey Shore University Medical Center | Neptune City | $9.81 | $7.85 – $44.95 |
| Palisades Medical Center | North Bergen | $9.81 | $3.79 – $44.95 |
| Riverview Medical Center | Red Bank | $9.81 | $2.66 – $44.95 |
| Southern Ocean Medical Center | Manahawkin | $9.81 | $9.81 – $44.95 |