Dup scan/ue art/graft/bilat/comp 93930 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.
$1,704.00
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.
$226.63 with AETNA vs $2,585.00 with HORIZON — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $226.63 | ↓ -15% |
| WELLCARE | MEDICARE ADVANTAGE | $267.78 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $267.78 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $267.78 | ↑ +0% |
| VACCN | ALL PRODUCTS | $267.78 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $281.17 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $286.53 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $291.88 | ↑ +9% |
| CLOVER | MEDICARE ADVANTAGE | $306.72 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $321.34 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $352.73 | ↑ +32% |
| KARNA | MEDICARE ADVANTAGE | $355.63 | ↑ +33% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,003.66 | ↑ +275% |
| QUALCARE | WORKERS COMP | $1,133.16 | ↑ +323% |
| OXFORD | ALL PRODUCTS | $1,190.00 | ↑ +344% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,278.00 | ↑ +377% |
| BERGEN RISK | ALL PRODUCTS | $1,278.00 | ↑ +377% |
| HORIZON | OMNIA | $1,301.86 | ↑ +386% |
| HORIZON | PIP | $1,318.90 | ↑ +393% |
| HORIZON | WORKERS COMP | $1,328.10 | ↑ +396% |
| AETNA | ASA | $1,334.23 | ↑ +398% |
| CIGNA | BH | $1,363.20 | ↑ +409% |
| HORIZON | INDEMNITY | $1,431.87 | ↑ +435% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,448.40 | ↑ +441% |
| AMERIHEALTH | LOCAL HMO | $1,474.81 | ↑ +451% |
| AETNA | HMO | $1,533.60 | ↑ +473% |
| AETNA | PPO | $1,533.60 | ↑ +473% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,533.60 | ↑ +473% |
| QUALCARE | HMO | $1,547.23 | ↑ +478% |
| QUALCARE | PPO | $1,547.23 | ↑ +478% |
| HORIZON | SHP | $1,589.83 | ↑ +494% |
| HORIZON | HMO | $1,605.17 | ↑ +499% |
| CIGNA | HMO | $1,629.54 | ↑ +509% |
| CIGNA | PPO | $1,629.54 | ↑ +509% |
| HORIZON | PPO | $1,646.06 | ↑ +515% |
| UNITED HEALTHCARE | HMO | $1,656.00 | ↑ +518% |
| AMERIHEALTH | REGIONAL HMO | $1,657.82 | ↑ +519% |
| HORIZON | MANAGED MEDICAID | $2,585.00 | ↑ +865% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Dup scan/ue art/graft/bilat/comp 93930 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $267.55 | $267.55 – $1,207.00 |
| Hackensack University Medical Center | Hackensack | $284.66 | $227.73 – $4,324.00 |
| Ocean University Medical Center | Brick | $264.17 | $241.72 – $1,179.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $267.78 | $241.72 – $1,573.00 |
| Jersey Shore University Medical Center | Neptune City | $267.55 | $267.55 – $1,271.00 |
| Palisades Medical Center | North Bergen | $284.66 | $284.66 – $2,744.00 |
| Riverview Medical Center | Red Bank | $267.55 | $267.55 – $1,036.00 |
| Southern Ocean Medical Center | Manahawkin | $264.17 | $264.17 – $1,114.00 |