Cover eye w/membrane suture at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$4,177.59
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.
$7,472.00
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.
$250.30 with KARNA vs $13,893.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $250.30 | ↓ -94% |
| AETNA | MANAGED MEDICAID | $993.78 | ↓ -76% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -72% |
| CLOVER | MEDICARE ADVANTAGE | $1,344.96 | ↓ -68% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,546.70 | ↓ -63% |
| HORIZON | MANAGED MEDICAID | $2,438.00 | ↓ -42% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↓ -30% |
| CIGNA | HMO | $2,981.00 | ↓ -29% |
| CIGNA | PPO | $3,336.00 | ↓ -20% |
| WELLCARE | MEDICARE ADVANTAGE | $4,177.59 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,177.59 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4,177.59 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4,177.59 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,386.47 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $4,470.02 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $4,553.57 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $5,013.11 | ↑ +20% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↑ +28% |
| BERGEN RISK | ALL PRODUCTS | $5,604.00 | ↑ +34% |
| HORIZON | OMNIA | $5,708.61 | ↑ +37% |
| AMERIHEALTH | LOCAL HMO | $5,824.32 | ↑ +39% |
| AETNA | ASA | $5,850.58 | ↑ +40% |
| CIGNA | BH | $5,977.60 | ↑ +43% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,351.20 | ↑ +52% |
| HORIZON | WORKERS COMP | $6,415.00 | ↑ +54% |
| AMERIHEALTH | REGIONAL HMO | $6,507.84 | ↑ +56% |
| QUALCARE | HMO | $6,575.36 | ↑ +57% |
| QUALCARE | PPO | $6,575.36 | ↑ +57% |
| HORIZON | PIP | $6,602.00 | ↑ +58% |
| HORIZON | SHP | $6,971.38 | ↑ +67% |
| HORIZON | HMO | $7,038.62 | ↑ +68% |
| HORIZON | INDEMNITY | $7,135.76 | ↑ +71% |
| HORIZON | PPO | $7,217.95 | ↑ +73% |
| AETNA | PPO | $8,419.00 | ↑ +102% |
| AETNA | HMO | $8,419.00 | ↑ +102% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +138% |
| OXFORD | ALL PRODUCTS | $11,028.00 | ↑ +164% |
| UNITED HEALTHCARE | HMO | $13,893.00 | ↑ +233% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cover eye w/membrane suture at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $4,173.97 | $4,173.97 – $5,008.76 |
| Hackensack University Medical Center | Hackensack | $4,440.96 | $250.30 – $4,663.00 |
| Ocean University Medical Center | Brick | $4,121.25 | $241.34 – $4,945.50 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $4,177.59 | $250.30 – $4,177.59 |
| Jersey Shore University Medical Center | Neptune City | $4,173.97 | $241.34 – $5,008.76 |
| Palisades Medical Center | North Bergen | $4,440.96 | $250.30 – $4,840.64 |
| Riverview Medical Center | Red Bank | $4,173.97 | $241.34 – $5,008.76 |
| Southern Ocean Medical Center | Manahawkin | $4,121.25 | $241.34 – $4,945.50 |