Culture fungi other (except blood) at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$8.41
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.
$130.00
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.
$8.41 with CLOVER vs $126.48 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $8.41 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $8.41 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $8.41 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $8.41 | ↑ +0% |
| VACCN | ALL PRODUCTS | $8.41 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $8.41 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $8.83 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $9.00 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $9.17 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $10.09 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $11.19 | ↑ +33% |
| OXFORD | ALL PRODUCTS | $17.26 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $17.26 | ↑ +105% |
| AETNA | MANAGED MEDICAID | $17.29 | ↑ +106% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $18.44 | ↑ +119% |
| CIGNA | PPO | $38.54 | ↑ +358% |
| CIGNA | HMO | $38.54 | ↑ +358% |
| QUALCARE | WORKERS COMP | $86.45 | ↑ +928% |
| AETNA | PPO | $89.44 | ↑ +963% |
| AETNA | HMO | $89.44 | ↑ +963% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $97.50 | ↑ +1059% |
| BERGEN RISK | ALL PRODUCTS | $97.50 | ↑ +1059% |
| HORIZON | OMNIA | $99.32 | ↑ +1081% |
| HORIZON | PIP | $100.62 | ↑ +1096% |
| HORIZON | WORKERS COMP | $101.32 | ↑ +1105% |
| AETNA | ASA | $101.79 | ↑ +1110% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $104.00 | ↑ +1137% |
| CIGNA | BH | $104.00 | ↑ +1137% |
| HORIZON | INDEMNITY | $109.24 | ↑ +1199% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $110.50 | ↑ +1214% |
| AMERIHEALTH | LOCAL HMO | $112.52 | ↑ +1238% |
| QUALCARE | HMO | $118.04 | ↑ +1304% |
| QUALCARE | PPO | $118.04 | ↑ +1304% |
| HORIZON | SHP | $121.29 | ↑ +1342% |
| HORIZON | HMO | $122.46 | ↑ +1356% |
| HORIZON | PPO | $125.58 | ↑ +1393% |
| AMERIHEALTH | REGIONAL HMO | $126.48 | ↑ +1404% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Culture fungi other (except blood) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $8.41 | $8.41 – $38.54 |
| Hackensack University Medical Center | Hackensack | $8.41 | $6.73 – $37.77 |
| Ocean University Medical Center | Brick | $8.41 | $8.41 – $38.54 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $8.41 | $8.41 – $39.58 |
| Jersey Shore University Medical Center | Neptune City | $8.41 | $6.73 – $38.54 |
| Palisades Medical Center | North Bergen | $8.41 | $8.41 – $38.54 |
| Riverview Medical Center | Red Bank | $8.41 | $8.41 – $38.54 |
| Southern Ocean Medical Center | Manahawkin | $8.41 | $8.41 – $38.54 |