Chromogenic substrate assay at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$11.89
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.
$292.00
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.
$11.89 with CLOVER vs $284.09 with AMERIHEALTH — 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 | $11.89 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $11.89 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $11.89 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $11.89 | ↑ +0% |
| VACCN | ALL PRODUCTS | $11.89 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $11.89 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $12.48 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $12.72 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $12.96 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $14.27 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $15.81 | ↑ +33% |
| OXFORD | ALL PRODUCTS | $24.40 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $24.40 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $26.11 | ↑ +120% |
| AETNA | MANAGED MEDICAID | $38.84 | ↑ +227% |
| CIGNA | PPO | $54.48 | ↑ +358% |
| CIGNA | HMO | $54.48 | ↑ +358% |
| QUALCARE | WORKERS COMP | $194.18 | ↑ +1533% |
| AETNA | PPO | $200.90 | ↑ +1590% |
| AETNA | HMO | $200.90 | ↑ +1590% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $219.00 | ↑ +1742% |
| BERGEN RISK | ALL PRODUCTS | $219.00 | ↑ +1742% |
| HORIZON | OMNIA | $223.09 | ↑ +1776% |
| HORIZON | PIP | $226.01 | ↑ +1801% |
| HORIZON | WORKERS COMP | $227.58 | ↑ +1814% |
| AETNA | ASA | $228.64 | ↑ +1823% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $233.60 | ↑ +1865% |
| CIGNA | BH | $233.60 | ↑ +1865% |
| HORIZON | INDEMNITY | $245.37 | ↑ +1964% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $248.20 | ↑ +1987% |
| AMERIHEALTH | LOCAL HMO | $252.73 | ↑ +2026% |
| QUALCARE | HMO | $265.14 | ↑ +2130% |
| QUALCARE | PPO | $265.14 | ↑ +2130% |
| HORIZON | SHP | $272.44 | ↑ +2191% |
| HORIZON | HMO | $275.06 | ↑ +2213% |
| HORIZON | PPO | $282.07 | ↑ +2272% |
| AMERIHEALTH | REGIONAL HMO | $284.09 | ↑ +2289% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Chromogenic substrate assay at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $11.89 | $11.89 – $54.48 |
| Hackensack University Medical Center | Hackensack | $11.89 | $9.51 – $53.39 |
| Ocean University Medical Center | Brick | $11.89 | $11.89 – $54.48 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $11.89 | $11.89 – $55.96 |
| Jersey Shore University Medical Center | Neptune City | $11.89 | $9.51 – $54.48 |
| Palisades Medical Center | North Bergen | $11.89 | $11.05 – $54.48 |
| Riverview Medical Center | Red Bank | $11.89 | $7.75 – $54.48 |
| Southern Ocean Medical Center | Manahawkin | $11.89 | $11.89 – $54.48 |