Complex simulation w/pet-ct at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$2,160.80
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.
$6,510.00
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.
$865.83 with AETNA vs $6,333.58 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $865.83 | ↓ -60% |
| CLOVER | MEDICARE ADVANTAGE | $1,171.80 | ↓ -46% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,347.57 | ↓ -38% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,160.80 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,160.80 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,160.80 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,160.80 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,268.84 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $2,312.06 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $2,355.28 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,592.96 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $2,746.00 | ↑ +27% |
| UNITED HEALTHCARE | HMO | $2,818.00 | ↑ +30% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,450.30 | ↑ +60% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $3,834.39 | ↑ +77% |
| QUALCARE | WORKERS COMP | $4,329.15 | ↑ +100% |
| AETNA | PPO | $4,549.19 | ↑ +111% |
| AETNA | HMO | $4,549.19 | ↑ +111% |
| BERGEN RISK | ALL PRODUCTS | $4,882.50 | ↑ +126% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,882.50 | ↑ +126% |
| HORIZON | OMNIA | $4,973.64 | ↑ +130% |
| HORIZON | PIP | $5,038.74 | ↑ +133% |
| HORIZON | WORKERS COMP | $5,073.89 | ↑ +135% |
| AETNA | ASA | $5,097.33 | ↑ +136% |
| CIGNA | BH | $5,208.00 | ↑ +141% |
| HORIZON | INDEMNITY | $5,470.35 | ↑ +153% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,533.50 | ↑ +156% |
| AMERIHEALTH | LOCAL HMO | $5,634.41 | ↑ +161% |
| QUALCARE | HMO | $5,911.08 | ↑ +174% |
| QUALCARE | PPO | $5,911.08 | ↑ +174% |
| HORIZON | SHP | $6,073.83 | ↑ +181% |
| HORIZON | HMO | $6,132.42 | ↑ +184% |
| CIGNA | PPO | $6,225.51 | ↑ +188% |
| CIGNA | HMO | $6,225.51 | ↑ +188% |
| HORIZON | PPO | $6,288.66 | ↑ +191% |
| AMERIHEALTH | REGIONAL HMO | $6,333.58 | ↑ +193% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Complex simulation w/pet-ct at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $2,158.93 | $2,158.93 – $2,774.00 |
| Hackensack University Medical Center | Hackensack | $2,297.03 | $1,837.62 – $3,250.00 |
| Ocean University Medical Center | Brick | $2,131.66 | $293.00 – $2,630.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,160.80 | $293.00 – $2,997.00 |
| Jersey Shore University Medical Center | Neptune City | $2,158.93 | $2,158.93 – $2,789.00 |
| Palisades Medical Center | North Bergen | $2,297.03 | $2,297.03 – $2,826.00 |
| Riverview Medical Center | Red Bank | $2,158.93 | $2,158.93 – $2,749.00 |
| Southern Ocean Medical Center | Manahawkin | $2,131.66 | $2,131.66 – $2,703.00 |