Echo exam of fetal heart at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$117.81
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.
$630.00
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.
$83.79 with AETNA vs $608.58 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 | $83.79 | ↓ -29% |
| CLOVER | MEDICARE ADVANTAGE | $113.40 | ↓ -4% |
| VACCN | ALL PRODUCTS | $117.81 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.81 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.70 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $126.05 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $128.41 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $130.41 | ↑ +11% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $130.55 | ↑ +11% |
| AETNA | PPO | $132.58 | ↑ +13% |
| AETNA | HMO | $132.58 | ↑ +13% |
| KARNA | MEDICARE ADVANTAGE | $134.26 | ↑ +14% |
| UNITED HEALTHCARE | DSNP | $141.37 | ↑ +20% |
| CIGNA | HMO | $165.29 | ↑ +40% |
| CIGNA | PPO | $165.29 | ↑ +40% |
| AMERIHEALTH | LOCAL HMO | $222.78 | ↑ +89% |
| AMERIHEALTH | REGIONAL HMO | $224.60 | ↑ +91% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +150% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +150% |
| QUALCARE | WORKERS COMP | $347.76 | ↑ +195% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $378.00 | ↑ +221% |
| QUALCARE | PPO | $454.23 | ↑ +286% |
| QUALCARE | HMO | $454.23 | ↑ +286% |
| BERGEN RISK | ALL PRODUCTS | $472.50 | ↑ +301% |
| HORIZON | OMNIA | $481.32 | ↑ +309% |
| HORIZON | PIP | $487.62 | ↑ +314% |
| HORIZON | WORKERS COMP | $491.02 | ↑ +317% |
| AETNA | ASA | $493.29 | ↑ +319% |
| CIGNA | BH | $504.00 | ↑ +328% |
| HORIZON | INDEMNITY | $529.39 | ↑ +349% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $535.50 | ↑ +355% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $567.00 | ↑ +381% |
| HORIZON | SHP | $587.79 | ↑ +399% |
| HORIZON | HMO | $593.46 | ↑ +404% |
| HORIZON | PPO | $608.58 | ↑ +417% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Echo exam of fetal heart at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $295.04 |
| Hackensack University Medical Center | Hackensack | $125.23 | $98.12 – $337.00 |
| Ocean University Medical Center | Brick | $116.22 | $106.34 – $295.04 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $106.34 – $312.47 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $117.70 – $334.81 |
| Palisades Medical Center | North Bergen | $125.23 | $108.24 – $295.04 |
| Riverview Medical Center | Red Bank | $117.70 | $117.70 – $295.04 |
| Southern Ocean Medical Center | Manahawkin | $116.22 | $116.22 – $222.78 |