Cochlear implt f/up exam 7/> at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$173.33
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.
$732.00
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.
$60.00 with HORIZON vs $712.16 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $60.00 | ↓ -65% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $90.00 | ↓ -48% |
| AETNA | MANAGED MEDICAID | $97.36 | ↓ -44% |
| CLOVER | MEDICARE ADVANTAGE | $131.76 | ↓ -24% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $151.52 | ↓ -13% |
| QUALCARE | HMO | $156.00 | ↓ -10% |
| QUALCARE | PPO | $166.00 | ↓ -4% |
| QUALCARE | WORKERS COMP | $166.00 | ↓ -4% |
| VACCN | ALL PRODUCTS | $173.33 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $173.33 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $182.00 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $185.46 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $188.93 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $200.84 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $208.00 | ↑ +20% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +29% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +29% |
| OXFORD | ALL PRODUCTS | $265.00 | ↑ +53% |
| UNITED HEALTHCARE | HMO | $374.00 | ↑ +116% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $431.15 | ↑ +149% |
| BERGEN RISK | ALL PRODUCTS | $549.00 | ↑ +217% |
| HORIZON | OMNIA | $559.25 | ↑ +223% |
| HORIZON | PIP | $566.57 | ↑ +227% |
| HORIZON | WORKERS COMP | $570.52 | ↑ +229% |
| AETNA | ASA | $573.16 | ↑ +231% |
| CIGNA | BH | $585.60 | ↑ +238% |
| HORIZON | INDEMNITY | $615.10 | ↑ +255% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $622.20 | ↑ +259% |
| AMERIHEALTH | LOCAL HMO | $633.55 | ↑ +266% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $658.80 | ↑ +280% |
| AETNA | PPO | $658.80 | ↑ +280% |
| AETNA | HMO | $658.80 | ↑ +280% |
| HORIZON | SHP | $682.96 | ↑ +294% |
| HORIZON | HMO | $689.54 | ↑ +298% |
| CIGNA | PPO | $700.01 | ↑ +304% |
| CIGNA | HMO | $700.01 | ↑ +304% |
| HORIZON | PPO | $707.11 | ↑ +308% |
| AMERIHEALTH | REGIONAL HMO | $712.16 | ↑ +311% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cochlear implt f/up exam 7/> at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $614.00 |
| Hackensack University Medical Center | Hackensack | $184.26 | $54.05 – $406.00 |
| Ocean University Medical Center | Brick | $170.99 | $60.00 – $525.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $173.33 | $60.00 – $576.00 |
| Jersey Shore University Medical Center | Neptune City | $173.18 | $173.18 – $326.00 |
| Palisades Medical Center | North Bergen | $184.26 | $96.53 – $994.00 |
| Riverview Medical Center | Red Bank | $173.18 | $173.18 – $301.00 |
| Southern Ocean Medical Center | Manahawkin | $170.99 | $160.00 – $332.00 |