Borrelia antibody at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$13.38
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.
?
What you pay up front if you don't use insurance.
$328.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$13.38 with CLOVER vs $319.11 with AMERIHEALTH — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $13.38 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $13.38 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $13.38 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $13.38 | ↑ +0% |
| VACCN | ALL PRODUCTS | $13.38 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $13.38 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $14.05 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $14.32 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $14.58 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $16.06 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $17.80 | ↑ +33% |
| OXFORD | ALL PRODUCTS | $27.46 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $27.46 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $29.36 | ↑ +119% |
| AETNA | MANAGED MEDICAID | $43.62 | ↑ +226% |
| CIGNA | PPO | $61.31 | ↑ +358% |
| CIGNA | HMO | $61.31 | ↑ +358% |
| QUALCARE | WORKERS COMP | $218.12 | ↑ +1530% |
| AETNA | PPO | $225.66 | ↑ +1587% |
| AETNA | HMO | $225.66 | ↑ +1587% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $246.00 | ↑ +1739% |
| BERGEN RISK | ALL PRODUCTS | $246.00 | ↑ +1739% |
| HORIZON | OMNIA | $250.59 | ↑ +1773% |
| HORIZON | PIP | $253.87 | ↑ +1797% |
| HORIZON | WORKERS COMP | $255.64 | ↑ +1811% |
| AETNA | ASA | $256.82 | ↑ +1819% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $262.40 | ↑ +1861% |
| CIGNA | BH | $262.40 | ↑ +1861% |
| HORIZON | INDEMNITY | $275.62 | ↑ +1960% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $278.80 | ↑ +1984% |
| AMERIHEALTH | LOCAL HMO | $283.88 | ↑ +2022% |
| QUALCARE | HMO | $297.82 | ↑ +2126% |
| QUALCARE | PPO | $297.82 | ↑ +2126% |
| HORIZON | SHP | $306.02 | ↑ +2187% |
| HORIZON | HMO | $308.98 | ↑ +2209% |
| HORIZON | PPO | $316.85 | ↑ +2268% |
| AMERIHEALTH | REGIONAL HMO | $319.11 | ↑ +2285% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Borrelia antibody at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $13.38 | $13.38 – $61.31 |
| Hackensack University Medical Center | Hackensack | $13.38 | $10.70 – $60.08 |
| Ocean University Medical Center | Brick | $13.38 | $11.00 – $61.31 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $13.38 | $11.00 – $62.97 |
| Jersey Shore University Medical Center | Neptune City | $13.38 | $10.70 – $61.31 |
| Palisades Medical Center | North Bergen | $13.38 | $12.43 – $61.31 |
| Riverview Medical Center | Red Bank | $13.38 | $8.72 – $61.31 |
| Southern Ocean Medical Center | Manahawkin | $13.38 | $13.38 – $61.31 |