Extraction erupted tooth/exr at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$1,841.89
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.
$1,855.00
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.
$245.68 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 | $245.68 | ↓ -87% |
| AETNA | MANAGED MEDICAID | $246.72 | ↓ -87% |
| CLOVER | MEDICARE ADVANTAGE | $333.90 | ↓ -82% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $383.99 | ↓ -79% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,092.60 | ↓ -41% |
| OXFORD | ALL PRODUCTS | $1,123.57 | ↓ -39% |
| BERGEN RISK | ALL PRODUCTS | $1,391.25 | ↓ -24% |
| HORIZON | OMNIA | $1,417.22 | ↓ -23% |
| AETNA | ASA | $1,452.47 | ↓ -21% |
| AMERIHEALTH | LOCAL HMO | $1,456.08 | ↓ -21% |
| CIGNA | BH | $1,484.00 | ↓ -19% |
| UNITED HEALTHCARE | HMO | $1,510.53 | ↓ -18% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,576.75 | ↓ -14% |
| AMERIHEALTH | REGIONAL HMO | $1,626.96 | ↓ -12% |
| QUALCARE | HMO | $1,632.40 | ↓ -11% |
| QUALCARE | PPO | $1,632.40 | ↓ -11% |
| HORIZON | SHP | $1,730.72 | ↓ -6% |
| HORIZON | HMO | $1,747.41 | ↓ -5% |
| HORIZON | INDEMNITY | $1,771.53 | ↓ -4% |
| CIGNA | PPO | $1,773.94 | ↓ -4% |
| CIGNA | HMO | $1,773.94 | ↓ -4% |
| HORIZON | PPO | $1,791.93 | ↓ -3% |
| WELLCARE | MEDICARE ADVANTAGE | $1,841.89 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,841.89 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,841.89 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,841.89 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,933.99 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,970.83 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $2,007.67 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,210.27 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $2,438.00 | ↑ +32% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↑ +58% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↑ +191% |
| HORIZON | WORKERS COMP | $6,415.00 | ↑ +248% |
| HORIZON | PIP | $6,602.00 | ↑ +258% |
| AETNA | HMO | $8,419.00 | ↑ +357% |
| AETNA | PPO | $8,419.00 | ↑ +357% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +439% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Extraction erupted tooth/exr at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,841.89 | $245.68 – $1,841.89 |
| Jersey Shore University Medical Center | Neptune City | $1,840.30 | $240.60 – $2,208.36 |
| Palisades Medical Center | North Bergen | $1,958.01 | $245.68 – $2,134.23 |
| Riverview Medical Center | Red Bank | $1,840.30 | $240.60 – $2,208.36 |
| Southern Ocean Medical Center | Manahawkin | $1,817.06 | $240.60 – $2,180.47 |