CT upper extremity w/contrast (both sides) at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$395.64
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.
$2,860.00
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.
$328.43 with HORIZON vs $2,921.00 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $328.43 | ↓ -17% |
| AETNA | MANAGED MEDICAID | $380.38 | ↓ -4% |
| WELLCARE | MANAGED MEDICAID | $395.64 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $395.64 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $395.64 | ↑ +0% |
| VACCN | ALL PRODUCTS | $395.64 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $398.50 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $415.42 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $423.33 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $431.24 | ↑ +9% |
| AETNA | HMO | $460.90 | ↑ +16% |
| AETNA | PPO | $460.90 | ↑ +16% |
| CIGNA | HMO | $463.75 | ↑ +17% |
| CIGNA | PPO | $463.75 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $474.76 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $514.80 | ↑ +30% |
| AMERIHEALTH | LOCAL HMO | $550.98 | ↑ +39% |
| AMERIHEALTH | REGIONAL HMO | $555.49 | ↑ +40% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $592.02 | ↑ +50% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $714.00 | ↑ +80% |
| OXFORD | ALL PRODUCTS | $895.45 | ↑ +126% |
| UNITED HEALTHCARE | HMO | $895.45 | ↑ +126% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $954.00 | ↑ +141% |
| QUALCARE | WORKERS COMP | $1,752.00 | ↑ +343% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,973.40 | ↑ +399% |
| BERGEN RISK | ALL PRODUCTS | $2,145.00 | ↑ +442% |
| HORIZON | OMNIA | $2,185.04 | ↑ +452% |
| HORIZON | PIP | $2,213.64 | ↑ +460% |
| HORIZON | WORKERS COMP | $2,229.08 | ↑ +463% |
| AETNA | ASA | $2,239.38 | ↑ +466% |
| CIGNA | BH | $2,288.00 | ↑ +478% |
| HORIZON | INDEMNITY | $2,403.26 | ↑ +507% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,431.00 | ↑ +514% |
| HORIZON | SHP | $2,668.38 | ↑ +574% |
| HORIZON | HMO | $2,694.12 | ↑ +581% |
| HORIZON | PPO | $2,762.76 | ↑ +598% |
| QUALCARE | PPO | $2,921.00 | ↑ +638% |
| QUALCARE | HMO | $2,921.00 | ↑ +638% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
CT upper extremity w/contrast (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $395.29 | $395.29 – $2,083.00 |
| Hackensack University Medical Center | Hackensack | $420.58 | $217.01 – $2,028.74 |
| Ocean University Medical Center | Brick | $390.30 | $357.13 – $2,083.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $395.64 | $357.13 – $950.67 |
| Jersey Shore University Medical Center | Neptune City | $395.29 | $378.95 – $2,083.00 |
| Palisades Medical Center | North Bergen | $420.58 | $239.39 – $895.45 |
| Riverview Medical Center | Red Bank | $395.29 | $204.36 – $2,083.00 |
| Southern Ocean Medical Center | Manahawkin | $390.30 | $378.95 – $550.98 |