Change of windpipe airway 31502 at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$257.26
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.
$743.00
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.
$70.00 with HORIZON vs $8,419.00 with AETNA — 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 | $70.00 | ↓ -73% |
| KARNA | MEDICARE ADVANTAGE | $73.26 | ↓ -72% |
| AETNA | MANAGED MEDICAID | $98.82 | ↓ -62% |
| CLOVER | MEDICARE ADVANTAGE | $133.74 | ↓ -48% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $153.80 | ↓ -40% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $257.26 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $257.26 | ↑ +0% |
| VACCN | ALL PRODUCTS | $257.26 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $257.26 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $270.12 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $275.27 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $280.41 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $308.71 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $437.63 | ↑ +70% |
| OXFORD | ALL PRODUCTS | $457.99 | ↑ +78% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $557.25 | ↑ +117% |
| BERGEN RISK | ALL PRODUCTS | $557.25 | ↑ +117% |
| AETNA | ASA | $581.77 | ↑ +126% |
| CIGNA | BH | $594.40 | ↑ +131% |
| UNITED HEALTHCARE | HMO | $605.02 | ↑ +135% |
| AMERIHEALTH | LOCAL HMO | $606.70 | ↑ +136% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $631.55 | ↑ +145% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $668.70 | ↑ +160% |
| QUALCARE | HMO | $674.64 | ↑ +162% |
| QUALCARE | PPO | $674.64 | ↑ +162% |
| AMERIHEALTH | REGIONAL HMO | $677.90 | ↑ +164% |
| CIGNA | HMO | $2,139.00 | ↑ +731% |
| CIGNA | PPO | $2,396.00 | ↑ +831% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↑ +1986% |
| HORIZON | WORKERS COMP | $6,415.00 | ↑ +2394% |
| HORIZON | OMNIA | $6,440.00 | ↑ +2403% |
| HORIZON | PIP | $6,602.00 | ↑ +2466% |
| HORIZON | SHP | $7,445.00 | ↑ +2794% |
| HORIZON | HMO | $7,956.00 | ↑ +2993% |
| HORIZON | INDEMNITY | $8,061.00 | ↑ +3033% |
| HORIZON | PPO | $8,159.00 | ↑ +3071% |
| AETNA | PPO | $8,419.00 | ↑ +3173% |
| AETNA | HMO | $8,419.00 | ↑ +3173% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Change of windpipe airway 31502 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $257.04 | $257.04 – $308.44 |
| Hackensack University Medical Center | Hackensack | $273.48 | $73.26 – $287.15 |
| Ocean University Medical Center | Brick | $253.79 | $71.27 – $304.55 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $257.26 | $56.00 – $257.26 |
| Jersey Shore University Medical Center | Neptune City | $257.04 | $71.27 – $308.44 |
| Palisades Medical Center | North Bergen | $273.48 | $55.16 – $298.09 |
| Riverview Medical Center | Red Bank | $257.04 | $71.27 – $308.44 |
| Southern Ocean Medical Center | Manahawkin | $253.79 | $71.27 – $304.55 |