Biopsy of tear sac at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$2,584.50
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.
$2,906.00
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.
$386.50 with AETNA vs $10,156.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $386.50 | ↓ -85% |
| CLOVER | MEDICARE ADVANTAGE | $523.08 | ↓ -80% |
| KARNA | MEDICARE ADVANTAGE | $539.96 | ↓ -79% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $601.54 | ↓ -77% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -54% |
| AMERIHEALTH | LOCAL HMO | $1,456.08 | ↓ -44% |
| AMERIHEALTH | REGIONAL HMO | $1,626.96 | ↓ -37% |
| CIGNA | HMO | $2,139.00 | ↓ -17% |
| BERGEN RISK | ALL PRODUCTS | $2,179.50 | ↓ -16% |
| HORIZON | OMNIA | $2,220.18 | ↓ -14% |
| HORIZON | MANAGED MEDICAID | $2,241.00 | ↓ -13% |
| AETNA | ASA | $2,275.40 | ↓ -12% |
| CIGNA | BH | $2,324.80 | ↓ -10% |
| CIGNA | PPO | $2,396.00 | ↓ -7% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,470.10 | ↓ -4% |
| QUALCARE | PPO | $2,557.28 | ↓ -1% |
| QUALCARE | HMO | $2,557.28 | ↓ -1% |
| WELLCARE | MEDICARE ADVANTAGE | $2,584.50 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,584.50 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,584.50 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,584.50 | ↑ +0% |
| HORIZON | SHP | $2,711.30 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,713.72 | ↑ +5% |
| HORIZON | HMO | $2,737.45 | ↑ +6% |
| AMERIGROUP | MEDICARE ADVANTAGE | $2,765.41 | ↑ +7% |
| HORIZON | INDEMNITY | $2,775.23 | ↑ +7% |
| HORIZON | PPO | $2,807.20 | ↑ +9% |
| AETNA | MEDICARE ADVANTAGE | $2,817.10 | ↑ +9% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↑ +13% |
| UNITED HEALTHCARE | DSNP | $3,101.40 | ↑ +20% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↑ +108% |
| HORIZON | WORKERS COMP | $6,415.00 | ↑ +148% |
| HORIZON | PIP | $6,602.00 | ↑ +155% |
| OXFORD | ALL PRODUCTS | $8,086.00 | ↑ +213% |
| AETNA | HMO | $8,419.00 | ↑ +226% |
| AETNA | PPO | $8,419.00 | ↑ +226% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +284% |
| UNITED HEALTHCARE | HMO | $10,156.00 | ↑ +293% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of tear sac at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $2,582.26 | $2,582.26 – $3,098.71 |
| Hackensack University Medical Center | Hackensack | $2,747.43 | $539.96 – $2,884.81 |
| Ocean University Medical Center | Brick | $2,549.65 | $522.81 – $3,059.57 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,584.50 | $72.60 – $2,584.50 |
| Jersey Shore University Medical Center | Neptune City | $2,582.26 | $522.81 – $3,098.71 |
| Palisades Medical Center | North Bergen | $2,747.43 | $539.96 – $2,994.70 |
| Riverview Medical Center | Red Bank | $2,582.26 | $522.81 – $3,098.71 |
| Southern Ocean Medical Center | Manahawkin | $2,549.65 | $522.81 – $3,059.57 |