Exc tendon sheath or cap lesion 26160 at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$1,772.97
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.
$4,140.00
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.
$550.62 with AETNA vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 | $550.62 | ↓ -69% |
| KARNA | MEDICARE ADVANTAGE | $705.08 | ↓ -60% |
| CLOVER | MEDICARE ADVANTAGE | $745.20 | ↓ -58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $856.98 | ↓ -52% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -33% |
| VACCN | ALL PRODUCTS | $1,772.97 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,772.97 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,772.97 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,772.97 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,861.61 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,897.07 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $1,932.53 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,127.56 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $2,438.00 | ↑ +38% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↑ +64% |
| BERGEN RISK | ALL PRODUCTS | $3,105.00 | ↑ +75% |
| AMERIHEALTH | LOCAL HMO | $3,154.84 | ↑ +78% |
| HORIZON | OMNIA | $3,162.96 | ↑ +78% |
| AETNA | ASA | $3,241.62 | ↑ +83% |
| CIGNA | BH | $3,312.00 | ↑ +87% |
| CIGNA | HMO | $3,412.00 | ↑ +92% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,519.00 | ↑ +98% |
| AMERIHEALTH | REGIONAL HMO | $3,525.08 | ↑ +99% |
| QUALCARE | PPO | $3,643.20 | ↑ +105% |
| QUALCARE | HMO | $3,643.20 | ↑ +105% |
| CIGNA | PPO | $3,817.00 | ↑ +115% |
| HORIZON | SHP | $3,862.62 | ↑ +118% |
| HORIZON | HMO | $3,899.88 | ↑ +120% |
| HORIZON | INDEMNITY | $3,953.70 | ↑ +123% |
| HORIZON | PPO | $3,999.24 | ↑ +126% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↑ +203% |
| OXFORD | ALL PRODUCTS | $6,058.00 | ↑ +242% |
| HORIZON | WORKERS COMP | $6,415.00 | ↑ +262% |
| HORIZON | PIP | $6,602.00 | ↑ +272% |
| UNITED HEALTHCARE | HMO | $7,579.00 | ↑ +327% |
| AETNA | PPO | $8,419.00 | ↑ +375% |
| AETNA | HMO | $8,419.00 | ↑ +375% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +460% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Exc tendon sheath or cap lesion 26160 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,771.43 | $1,771.43 – $2,125.72 |
| Hackensack University Medical Center | Hackensack | $1,884.74 | $705.08 – $1,978.98 |
| Ocean University Medical Center | Brick | $1,749.06 | $678.27 – $2,098.87 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,772.97 | $255.42 – $1,772.97 |
| Jersey Shore University Medical Center | Neptune City | $1,771.43 | $678.27 – $2,125.72 |
| Palisades Medical Center | North Bergen | $1,884.74 | $705.08 – $2,054.37 |
| Riverview Medical Center | Red Bank | $1,771.43 | $678.27 – $2,125.72 |
| Southern Ocean Medical Center | Manahawkin | $1,749.06 | $678.27 – $2,098.87 |