Electron microscopy diagnostic at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$904.98
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.
$2,211.00
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.
$294.06 with AETNA vs $2,151.08 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $294.06 | ↓ -68% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $457.68 | ↓ -49% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $629.97 | ↓ -30% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $904.98 | ↑ +0% |
| VACCN | ALL PRODUCTS | $904.98 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $904.98 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $904.98 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $944.90 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $950.23 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $968.33 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $986.43 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,085.97 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $1,346.75 | ↑ +49% |
| OXFORD | ALL PRODUCTS | $1,346.75 | ↑ +49% |
| QUALCARE | WORKERS COMP | $1,470.32 | ↑ +62% |
| AETNA | PPO | $1,521.17 | ↑ +68% |
| AETNA | HMO | $1,521.17 | ↑ +68% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,658.25 | ↑ +83% |
| BERGEN RISK | ALL PRODUCTS | $1,658.25 | ↑ +83% |
| HORIZON | OMNIA | $1,689.20 | ↑ +87% |
| HORIZON | PIP | $1,711.31 | ↑ +89% |
| HORIZON | WORKERS COMP | $1,723.25 | ↑ +90% |
| AETNA | ASA | $1,731.21 | ↑ +91% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,768.80 | ↑ +95% |
| CIGNA | BH | $1,768.80 | ↑ +95% |
| HORIZON | INDEMNITY | $1,857.90 | ↑ +105% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,879.35 | ↑ +108% |
| AMERIHEALTH | LOCAL HMO | $1,913.62 | ↑ +111% |
| QUALCARE | HMO | $2,007.59 | ↑ +122% |
| QUALCARE | PPO | $2,007.59 | ↑ +122% |
| HORIZON | SHP | $2,062.86 | ↑ +128% |
| HORIZON | HMO | $2,082.76 | ↑ +130% |
| CIGNA | PPO | $2,114.38 | ↑ +134% |
| CIGNA | HMO | $2,114.38 | ↑ +134% |
| HORIZON | PPO | $2,135.83 | ↑ +136% |
| AMERIHEALTH | REGIONAL HMO | $2,151.08 | ↑ +138% |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Electron microscopy diagnostic at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $904.19 | $629.97 – $1,346.75 |
| Hackensack University Medical Center | Hackensack | $962.03 | $273.55 – $1,010.13 |
| Ocean University Medical Center | Brick | $892.77 | $203.62 – $895.49 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $904.98 | $203.62 – $1,430.41 |
| Jersey Shore University Medical Center | Neptune City | $904.19 | $629.97 – $985.57 |
| Palisades Medical Center | North Bergen | $962.03 | $301.76 – $2,767.57 |
| Riverview Medical Center | Red Bank | $904.19 | $211.60 – $1,346.75 |
| Southern Ocean Medical Center | Manahawkin | $892.77 | $629.97 – $973.12 |