Autologous blood process at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$189.84
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.
$613.00
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.
$81.53 with AETNA vs $596.39 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 | $81.53 | ↓ -57% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $109.55 | ↓ -42% |
| CLOVER | MEDICARE ADVANTAGE | $110.34 | ↓ -42% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $126.89 | ↓ -33% |
| WELLCARE | MEDICARE ADVANTAGE | $189.84 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $189.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $189.84 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $189.84 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $199.33 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $203.12 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $206.92 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $227.80 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $229.39 | ↑ +21% |
| UNITED HEALTHCARE | HMO | $306.15 | ↑ +61% |
| OXFORD | ALL PRODUCTS | $306.15 | ↑ +61% |
| QUALCARE | WORKERS COMP | $407.65 | ↑ +115% |
| AETNA | PPO | $421.74 | ↑ +122% |
| AETNA | HMO | $421.74 | ↑ +122% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $459.75 | ↑ +142% |
| BERGEN RISK | ALL PRODUCTS | $459.75 | ↑ +142% |
| HORIZON | OMNIA | $468.33 | ↑ +147% |
| HORIZON | PIP | $474.46 | ↑ +150% |
| HORIZON | WORKERS COMP | $477.77 | ↑ +152% |
| AETNA | ASA | $479.98 | ↑ +153% |
| CIGNA | BH | $490.40 | ↑ +158% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $490.40 | ↑ +158% |
| HORIZON | INDEMNITY | $515.10 | ↑ +171% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $521.05 | ↑ +174% |
| AMERIHEALTH | LOCAL HMO | $530.55 | ↑ +179% |
| QUALCARE | PPO | $556.60 | ↑ +193% |
| QUALCARE | HMO | $556.60 | ↑ +193% |
| HORIZON | SHP | $571.93 | ↑ +201% |
| HORIZON | HMO | $577.45 | ↑ +204% |
| CIGNA | PPO | $586.21 | ↑ +209% |
| CIGNA | HMO | $586.21 | ↑ +209% |
| HORIZON | PPO | $592.16 | ↑ +212% |
| AMERIHEALTH | REGIONAL HMO | $596.39 | ↑ +214% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Autologous blood process at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $189.67 | $109.55 – $306.15 |
| Hackensack University Medical Center | Hackensack | $201.80 | $44.68 – $344.49 |
| Ocean University Medical Center | Brick | $187.28 | $82.50 – $306.15 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $189.84 | $82.50 – $325.17 |
| Jersey Shore University Medical Center | Neptune City | $189.67 | $109.55 – $333.37 |
| Palisades Medical Center | North Bergen | $201.80 | $49.28 – $629.14 |
| Riverview Medical Center | Red Bank | $189.67 | $34.56 – $306.15 |
| Southern Ocean Medical Center | Manahawkin | $187.28 | $109.55 – $306.15 |