Excision of gum lesion at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$1,640.99
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.
$5,925.00
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.
$477.81 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $477.81 | ↓ -71% |
| AETNA | MANAGED MEDICAID | $788.03 | ↓ -52% |
| CLOVER | MEDICARE ADVANTAGE | $1,066.50 | ↓ -35% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -28% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,226.48 | ↓ -25% |
| AMERIHEALTH | LOCAL HMO | $1,456.08 | ↓ -11% |
| AMERIHEALTH | REGIONAL HMO | $1,626.96 | ↓ -1% |
| VACCN | ALL PRODUCTS | $1,640.99 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,640.99 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,640.99 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,640.99 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,723.04 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,755.86 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $1,788.68 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,969.19 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $2,438.00 | ↑ +49% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↑ +78% |
| BERGEN RISK | ALL PRODUCTS | $4,443.75 | ↑ +171% |
| HORIZON | OMNIA | $4,526.70 | ↑ +176% |
| AETNA | ASA | $4,639.28 | ↑ +183% |
| CIGNA | BH | $4,740.00 | ↑ +189% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,036.25 | ↑ +207% |
| QUALCARE | HMO | $5,214.00 | ↑ +218% |
| QUALCARE | PPO | $5,214.00 | ↑ +218% |
| CIGNA | HMO | $5,325.98 | ↑ +225% |
| CIGNA | PPO | $5,325.98 | ↑ +225% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↑ +227% |
| HORIZON | SHP | $5,528.03 | ↑ +237% |
| HORIZON | HMO | $5,581.35 | ↑ +240% |
| HORIZON | INDEMNITY | $5,658.38 | ↑ +245% |
| HORIZON | PPO | $5,723.55 | ↑ +249% |
| OXFORD | ALL PRODUCTS | $6,058.00 | ↑ +269% |
| HORIZON | WORKERS COMP | $6,415.00 | ↑ +291% |
| HORIZON | PIP | $6,602.00 | ↑ +302% |
| UNITED HEALTHCARE | HMO | $7,579.00 | ↑ +362% |
| AETNA | PPO | $8,419.00 | ↑ +413% |
| AETNA | HMO | $8,419.00 | ↑ +413% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +505% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Excision of gum lesion at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,639.57 | $1,639.57 – $1,967.48 |
| Hackensack University Medical Center | Hackensack | $1,744.44 | $477.81 – $1,831.67 |
| Ocean University Medical Center | Brick | $1,618.86 | $462.08 – $1,942.63 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,640.99 | $108.90 – $1,640.99 |
| Jersey Shore University Medical Center | Neptune City | $1,639.57 | $462.08 – $1,967.48 |
| Palisades Medical Center | North Bergen | $1,744.44 | $477.81 – $1,901.44 |
| Riverview Medical Center | Red Bank | $1,639.57 | $462.08 – $1,967.48 |
| Southern Ocean Medical Center | Manahawkin | $1,618.86 | $462.08 – $1,942.63 |