Factor ix complex at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$1.70
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.
$4.35
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.
$0.78 with CLOVER vs $4.20 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $0.78 | ↓ -54% |
| HORIZON | MANAGED MEDICAID | $1.45 | ↓ -15% |
| QUALCARE | HMO | $1.63 | ↓ -4% |
| QUALCARE | PPO | $1.63 | ↓ -4% |
| QUALCARE | WORKERS COMP | $1.63 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1.79 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1.82 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $1.85 | ↑ +9% |
| WELLCARE | MEDICARE ADVANTAGE | $1.96 | ↑ +15% |
| WELLCARE | MANAGED MEDICAID | $1.96 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $2.04 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $2.06 | ↑ +21% |
| AETNA | MANAGED MEDICAID | $2.13 | ↑ +25% |
| KARNA | MEDICARE ADVANTAGE | $2.14 | ↑ +26% |
| CIGNA | HMO | $2.15 | ↑ +26% |
| CIGNA | PPO | $2.15 | ↑ +26% |
| AMERIGROUP | MANAGED MEDICAID | $2.18 | ↑ +28% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2.18 | ↑ +28% |
| AMERIHEALTH | REGIONAL HMO | $2.30 | ↑ +35% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2.56 | ↑ +51% |
| BERGEN RISK | ALL PRODUCTS | $2.61 | ↑ +54% |
| AETNA | PPO | $2.65 | ↑ +56% |
| AETNA | HMO | $2.65 | ↑ +56% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3.26 | ↑ +92% |
| OXFORD | ALL PRODUCTS | $3.29 | ↑ +94% |
| UNITED HEALTHCARE | HMO | $3.29 | ↑ +94% |
| HORIZON | OMNIA | $3.32 | ↑ +95% |
| HORIZON | PIP | $3.37 | ↑ +98% |
| HORIZON | WORKERS COMP | $3.39 | ↑ +99% |
| AETNA | ASA | $3.41 | ↑ +101% |
| CIGNA | BH | $3.48 | ↑ +105% |
| HORIZON | INDEMNITY | $3.66 | ↑ +115% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3.70 | ↑ +118% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3.92 | ↑ +131% |
| HORIZON | SHP | $4.06 | ↑ +139% |
| HORIZON | HMO | $4.10 | ↑ +141% |
| HORIZON | PPO | $4.20 | ↑ +147% |
Visitor-reported prices
Comments
Factor ix complex at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1.70 | $1.45 – $3.29 |
| Jersey Shore University Medical Center | Neptune City | $1.70 | $1.45 – $2.09 |
| Palisades Medical Center | North Bergen | $1.65 | $1.45 – $3.29 |
| Riverview Medical Center | Red Bank | $1.70 | $1.45 – $3.29 |
| Southern Ocean Medical Center | Manahawkin | $1.70 | $1.45 – $2.09 |