Busulfan injection at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$1.84
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.
$6.12
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.
$1.10 with CLOVER vs $5.91 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 | $1.10 | ↓ -40% |
| HORIZON | MANAGED MEDICAID | $1.56 | ↓ -15% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1.84 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $1.88 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1.93 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1.97 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $2.01 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2.21 | ↑ +20% |
| QUALCARE | WORKERS COMP | $2.30 | ↑ +25% |
| QUALCARE | PPO | $2.30 | ↑ +25% |
| QUALCARE | HMO | $2.30 | ↑ +25% |
| WELLCARE | MEDICARE ADVANTAGE | $2.75 | ↑ +49% |
| WELLCARE | MANAGED MEDICAID | $2.75 | ↑ +49% |
| AMERIHEALTH | LOCAL HMO | $2.90 | ↑ +58% |
| AETNA | MANAGED MEDICAID | $3.00 | ↑ +63% |
| CIGNA | HMO | $3.03 | ↑ +65% |
| CIGNA | PPO | $3.03 | ↑ +65% |
| AMERIGROUP | MANAGED MEDICAID | $3.06 | ↑ +66% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3.06 | ↑ +66% |
| OXFORD | ALL PRODUCTS | $3.11 | ↑ +69% |
| UNITED HEALTHCARE | HMO | $3.11 | ↑ +69% |
| AMERIHEALTH | REGIONAL HMO | $3.24 | ↑ +76% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $3.60 | ↑ +96% |
| BERGEN RISK | ALL PRODUCTS | $3.67 | ↑ +99% |
| AETNA | PPO | $3.73 | ↑ +103% |
| AETNA | HMO | $3.73 | ↑ +103% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4.59 | ↑ +149% |
| HORIZON | OMNIA | $4.68 | ↑ +154% |
| HORIZON | PIP | $4.74 | ↑ +158% |
| HORIZON | WORKERS COMP | $4.77 | ↑ +159% |
| AETNA | ASA | $4.79 | ↑ +160% |
| CIGNA | BH | $4.90 | ↑ +166% |
| HORIZON | INDEMNITY | $5.14 | ↑ +179% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5.20 | ↑ +183% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $5.51 | ↑ +199% |
| HORIZON | SHP | $5.71 | ↑ +210% |
| HORIZON | HMO | $5.77 | ↑ +214% |
| HORIZON | PPO | $5.91 | ↑ +221% |