Brachytx, non-str, ha, i-125 at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$180.40
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.
$520.00
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.
$93.60 with CLOVER vs $502.32 with HORIZON — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $93.60 | ↓ -48% |
| VACCN | ALL PRODUCTS | $180.40 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $180.40 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $189.42 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $193.03 | ↑ +7% |
| QUALCARE | PPO | $195.00 | ↑ +8% |
| QUALCARE | HMO | $195.00 | ↑ +8% |
| QUALCARE | WORKERS COMP | $195.00 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $196.63 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $216.48 | ↑ +20% |
| WELLCARE | MANAGED MEDICAID | $234.00 | ↑ +30% |
| WELLCARE | MEDICARE ADVANTAGE | $234.00 | ↑ +30% |
| AMERIHEALTH | LOCAL HMO | $246.43 | ↑ +37% |
| AETNA | MANAGED MEDICAID | $254.80 | ↑ +41% |
| CIGNA | PPO | $257.40 | ↑ +43% |
| CIGNA | HMO | $257.40 | ↑ +43% |
| AMERIGROUP | MANAGED MEDICAID | $260.00 | ↑ +44% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $260.00 | ↑ +44% |
| AMERIHEALTH | REGIONAL HMO | $275.50 | ↑ +53% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $306.28 | ↑ +70% |
| BERGEN RISK | ALL PRODUCTS | $312.00 | ↑ +73% |
| AETNA | PPO | $317.20 | ↑ +76% |
| AETNA | HMO | $317.20 | ↑ +76% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $390.00 | ↑ +116% |
| HORIZON | OMNIA | $397.28 | ↑ +120% |
| HORIZON | PIP | $402.48 | ↑ +123% |
| HORIZON | WORKERS COMP | $405.29 | ↑ +125% |
| AETNA | ASA | $407.16 | ↑ +126% |
| CIGNA | BH | $416.00 | ↑ +131% |
| HORIZON | INDEMNITY | $436.96 | ↑ +142% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $442.00 | ↑ +145% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $468.00 | ↑ +159% |
| HORIZON | SHP | $485.16 | ↑ +169% |
| HORIZON | HMO | $489.84 | ↑ +172% |
| HORIZON | PPO | $502.32 | ↑ +178% |
| OXFORD | ALL PRODUCTS | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| UNITED HEALTHCARE | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Brachytx, non-str, ha, i-125 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $64.49 | $177.96 – $354.14 |
| Cooperman Barnabas Medical Center | Livingston | $52.00 | $182.69 – $365.38 |
| Community Medical Center | Toms River | $50.90 | $177.96 – $354.14 |
| Clara Maass Medical Center | Belleville | $92.09 | $182.69 – $363.55 |
| Newark Beth Israel Medical Center | Newark | $51.12 | $182.69 – $363.55 |
| Jersey City Medical Center | Jersey City | $51.00 | $191.77 – $381.62 |
| Monmouth Medical Center | Long Branch | $53.70 | $180.24 – $358.68 |
| Bayshore Medical Center | Holmdel | $180.24 | $180.24 – $216.29 |