Brain image w/flow 4 + views at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$596.31
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.
$2,143.00
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.
$210.38 with HORIZON vs $2,070.14 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $210.38 | ↓ -65% |
| AETNA | MANAGED MEDICAID | $285.02 | ↓ -52% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $290.27 | ↓ -51% |
| CLOVER | MEDICARE ADVANTAGE | $385.74 | ↓ -35% |
| AMERIHEALTH | LOCAL HMO | $397.82 | ↓ -33% |
| AMERIHEALTH | REGIONAL HMO | $401.08 | ↓ -33% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $443.60 | ↓ -26% |
| KARNA | MEDICARE ADVANTAGE | $589.53 | ↓ -1% |
| WELLCARE | MANAGED MEDICAID | $596.31 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $596.31 | ↑ +0% |
| VACCN | ALL PRODUCTS | $596.31 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $596.31 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $626.12 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $638.05 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $649.97 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $715.57 | ↑ +20% |
| AETNA | HMO | $873.60 | ↑ +47% |
| AETNA | PPO | $873.60 | ↑ +47% |
| CIGNA | HMO | $1,093.12 | ↑ +83% |
| CIGNA | PPO | $1,093.12 | ↑ +83% |
| QUALCARE | WORKERS COMP | $1,182.94 | ↑ +98% |
| OXFORD | ALL PRODUCTS | $1,325.05 | ↑ +122% |
| UNITED HEALTHCARE | HMO | $1,325.05 | ↑ +122% |
| QUALCARE | PPO | $1,545.10 | ↑ +159% |
| QUALCARE | HMO | $1,545.10 | ↑ +159% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,607.25 | ↑ +170% |
| BERGEN RISK | ALL PRODUCTS | $1,607.25 | ↑ +170% |
| HORIZON | OMNIA | $1,637.25 | ↑ +175% |
| HORIZON | PIP | $1,658.68 | ↑ +178% |
| HORIZON | WORKERS COMP | $1,670.25 | ↑ +180% |
| AETNA | ASA | $1,677.97 | ↑ +181% |
| CIGNA | BH | $1,714.40 | ↑ +188% |
| HORIZON | INDEMNITY | $1,800.76 | ↑ +202% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,821.55 | ↑ +205% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,928.70 | ↑ +223% |
| HORIZON | SHP | $1,999.42 | ↑ +235% |
| HORIZON | HMO | $2,018.71 | ↑ +239% |
| HORIZON | PPO | $2,070.14 | ↑ +247% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Brain image w/flow 4 + views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $595.79 | $290.27 – $1,325.05 |
| Hackensack University Medical Center | Hackensack | $633.90 | $139.01 – $1,513.47 |
| Ocean University Medical Center | Brick | $588.26 | $290.27 – $1,325.05 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $596.31 | $355.73 – $1,403.35 |
| Jersey Shore University Medical Center | Neptune City | $595.79 | $290.27 – $1,503.68 |
| Palisades Medical Center | North Bergen | $633.90 | $153.34 – $1,325.05 |
| Riverview Medical Center | Red Bank | $595.79 | $130.90 – $1,325.05 |
| Southern Ocean Medical Center | Manahawkin | $588.26 | $290.27 – $1,093.12 |