Cardioversion/elective/internal 92961 at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$724.94
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.
$2,510.00
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.
$286.05 with HORIZON vs $2,424.66 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 | $286.05 | ↓ -61% |
| AETNA | MANAGED MEDICAID | $333.83 | ↓ -54% |
| KARNA | MEDICARE ADVANTAGE | $403.77 | ↓ -44% |
| CLOVER | MEDICARE ADVANTAGE | $451.80 | ↓ -38% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $519.57 | ↓ -28% |
| AMERIHEALTH | LOCAL HMO | $606.70 | ↓ -16% |
| AMERIHEALTH | REGIONAL HMO | $677.90 | ↓ -6% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $724.94 | ↑ +0% |
| VACCN | ALL PRODUCTS | $724.94 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $724.94 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $724.94 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $761.18 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $775.68 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $790.18 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $869.92 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,478.39 | ↑ +104% |
| OXFORD | ALL PRODUCTS | $1,520.31 | ↑ +110% |
| QUALCARE | WORKERS COMP | $1,669.15 | ↑ +130% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,882.50 | ↑ +160% |
| BERGEN RISK | ALL PRODUCTS | $1,882.50 | ↑ +160% |
| HORIZON | OMNIA | $1,917.64 | ↑ +165% |
| HORIZON | PIP | $1,942.74 | ↑ +168% |
| HORIZON | WORKERS COMP | $1,956.29 | ↑ +170% |
| AETNA | ASA | $1,965.33 | ↑ +171% |
| CIGNA | BH | $2,008.00 | ↑ +177% |
| UNITED HEALTHCARE | HMO | $2,043.89 | ↑ +182% |
| HORIZON | INDEMNITY | $2,109.15 | ↑ +191% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,133.50 | ↑ +194% |
| AETNA | HMO | $2,259.00 | ↑ +212% |
| AETNA | PPO | $2,259.00 | ↑ +212% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,259.00 | ↑ +212% |
| QUALCARE | HMO | $2,279.08 | ↑ +214% |
| QUALCARE | PPO | $2,279.08 | ↑ +214% |
| HORIZON | SHP | $2,341.83 | ↑ +223% |
| HORIZON | HMO | $2,364.42 | ↑ +226% |
| CIGNA | HMO | $2,400.31 | ↑ +231% |
| CIGNA | PPO | $2,400.31 | ↑ +231% |
| HORIZON | PPO | $2,424.66 | ↑ +234% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cardioversion/elective/internal 92961 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $724.31 | $724.31 – $869.17 |
| Hackensack University Medical Center | Hackensack | $770.64 | $403.77 – $2,033.00 |
| Ocean University Medical Center | Brick | $715.16 | $104.00 – $858.19 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $724.94 | $104.00 – $1,042.00 |
| Jersey Shore University Medical Center | Neptune City | $724.31 | $394.30 – $869.17 |
| Palisades Medical Center | North Bergen | $770.64 | $58.00 – $839.99 |
| Riverview Medical Center | Red Bank | $724.31 | $394.30 – $869.17 |
| Southern Ocean Medical Center | Manahawkin | $715.16 | $394.30 – $858.19 |