Critical Care (first 30 to 74 minutes) at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$933.46
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.
$5,390.00
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.
$355.15 with KARNA vs $4,743.20 with QUALCARE — 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 | $355.15 | ↓ -62% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $358.00 | ↓ -62% |
| HORIZON | MANAGED MEDICAID | $523.00 | ↓ -44% |
| AETNA | MANAGED MEDICAID | $716.87 | ↓ -23% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $795.00 | ↓ -15% |
| WELLCARE | MEDICARE ADVANTAGE | $933.46 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $933.46 | ↑ +0% |
| VACCN | ALL PRODUCTS | $933.46 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $933.46 | ↑ +0% |
| HORIZON | PIP | $958.00 | ↑ +3% |
| HORIZON | WORKERS COMP | $959.00 | ↑ +3% |
| CLOVER | MEDICARE ADVANTAGE | $970.20 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $980.13 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $998.80 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $1,017.47 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,115.73 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $1,120.15 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $1,522.00 | ↑ +63% |
| QUALCARE | WORKERS COMP | $2,148.00 | ↑ +130% |
| OXFORD | ALL PRODUCTS | $2,700.00 | ↑ +189% |
| UNITED HEALTHCARE | HMO | $2,770.00 | ↑ +197% |
| AETNA | PPO | $3,144.00 | ↑ +237% |
| AETNA | HMO | $3,144.00 | ↑ +237% |
| AMERIHEALTH | LOCAL HMO | $3,968.00 | ↑ +325% |
| AETNA | ASA | $4,220.37 | ↑ +352% |
| CIGNA | BH | $4,312.00 | ↑ +362% |
| AMERIHEALTH | REGIONAL HMO | $4,445.00 | ↑ +376% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,581.50 | ↑ +391% |
| QUALCARE | HMO | $4,743.20 | ↑ +408% |
| QUALCARE | PPO | $4,743.20 | ↑ +408% |
| HORIZON | HMO | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | not published by hospital | — |
| HORIZON | SHP | not published by hospital | — |
| HORIZON | PPO | not published by hospital | — |
| HORIZON | OMNIA | not published by hospital | — |
| HORIZON | INDEMNITY | not published by hospital | — |
Visitor-reported prices
Comments
Critical Care (first 30 to 74 minutes) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,044.73 | $144.26 – $1,862.00 |
| Cooperman Barnabas Medical Center | Livingston | $1,223.72 | $945.34 – $2,179.00 |
| Community Medical Center | Toms River | $1,154.38 | $920.87 – $1,976.00 |
| Clara Maass Medical Center | Belleville | $1,096.33 | $945.34 – $1,881.23 |
| Newark Beth Israel Medical Center | Newark | $1,202.93 | $148.50 – $1,890.68 |
| Jersey City Medical Center | Jersey City | $1,156.61 | $186.69 – $1,974.70 |
| Monmouth Medical Center | Long Branch | $1,217.84 | $932.65 – $1,855.97 |
| Bayshore Medical Center | Holmdel | $932.65 | $932.65 – $1,522.00 |