Ductogram sgl duct at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$267.78
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.
$650.00
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.
$24.75 with HORIZON vs $632.39 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $24.75 | ↓ -91% |
| AETNA | MANAGED MEDICAID | $86.45 | ↓ -68% |
| KARNA | MEDICARE ADVANTAGE | $104.05 | ↓ -61% |
| AETNA | HMO | $113.62 | ↓ -58% |
| AETNA | PPO | $113.62 | ↓ -58% |
| CLOVER | MEDICARE ADVANTAGE | $117.00 | ↓ -56% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $134.55 | ↓ -50% |
| CIGNA | PPO | $136.88 | ↓ -49% |
| CIGNA | HMO | $136.88 | ↓ -49% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $160.04 | ↓ -40% |
| WELLCARE | MANAGED MEDICAID | $267.78 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $267.78 | ↑ +0% |
| VACCN | ALL PRODUCTS | $267.78 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $267.78 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $281.17 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $286.53 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $291.88 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $321.34 | ↑ +20% |
| QUALCARE | WORKERS COMP | $358.80 | ↑ +34% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $390.00 | ↑ +46% |
| QUALCARE | PPO | $468.65 | ↑ +75% |
| QUALCARE | HMO | $468.65 | ↑ +75% |
| BERGEN RISK | ALL PRODUCTS | $487.50 | ↑ +82% |
| HORIZON | OMNIA | $496.60 | ↑ +85% |
| HORIZON | PIP | $503.10 | ↑ +88% |
| HORIZON | WORKERS COMP | $506.61 | ↑ +89% |
| AETNA | ASA | $508.95 | ↑ +90% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $520.00 | ↑ +94% |
| CIGNA | BH | $520.00 | ↑ +94% |
| HORIZON | INDEMNITY | $546.20 | ↑ +104% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $552.50 | ↑ +106% |
| AMERIHEALTH | LOCAL HMO | $562.58 | ↑ +110% |
| HORIZON | SHP | $606.45 | ↑ +126% |
| HORIZON | HMO | $612.30 | ↑ +129% |
| OXFORD | ALL PRODUCTS | $623.08 | ↑ +133% |
| UNITED HEALTHCARE | HMO | $623.08 | ↑ +133% |
| HORIZON | PPO | $627.90 | ↑ +134% |
| AMERIHEALTH | REGIONAL HMO | $632.39 | ↑ +136% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ductogram sgl duct at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $267.55 | $113.62 – $623.08 |
| Hackensack University Medical Center | Hackensack | $284.66 | $16.35 – $711.68 |
| Ocean University Medical Center | Brick | $264.17 | $99.12 – $264.17 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $267.78 | $104.05 – $659.90 |
| Jersey Shore University Medical Center | Neptune City | $267.55 | $99.12 – $280.93 |
| Palisades Medical Center | North Bergen | $284.66 | $18.04 – $623.08 |
| Riverview Medical Center | Red Bank | $267.55 | $15.40 – $623.08 |
| Southern Ocean Medical Center | Manahawkin | $264.17 | $99.12 – $277.38 |