Fixation of knee joint 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.
$6,600.00
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.
$159.23 with HORIZON 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $159.23 | ↓ -91% |
| KARNA | MEDICARE ADVANTAGE | $339.39 | ↓ -81% |
| AETNA | MANAGED MEDICAID | $877.80 | ↓ -50% |
| AETNA | MEDICARE ADVANTAGE | $1,023.00 | ↓ -42% |
| CLOVER | MEDICARE ADVANTAGE | $1,188.00 | ↓ -33% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -33% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,366.20 | ↓ -23% |
| AMERIHEALTH | LOCAL HMO | $1,456.08 | ↓ -18% |
| AMERIHEALTH | REGIONAL HMO | $1,626.96 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $1,772.97 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,772.97 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,772.97 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,772.97 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,861.61 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,897.07 | ↑ +7% |
| UNITED HEALTHCARE | DSNP | $2,127.56 | ↑ +20% |
| CIGNA | HMO | $2,139.00 | ↑ +21% |
| CIGNA | PPO | $2,396.00 | ↑ +35% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↑ +64% |
| BERGEN RISK | ALL PRODUCTS | $4,950.00 | ↑ +179% |
| HORIZON | OMNIA | $5,042.40 | ↑ +184% |
| AETNA | ASA | $5,167.80 | ↑ +191% |
| CIGNA | BH | $5,280.00 | ↑ +198% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↑ +203% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,610.00 | ↑ +216% |
| QUALCARE | HMO | $5,808.00 | ↑ +228% |
| QUALCARE | PPO | $5,808.00 | ↑ +228% |
| OXFORD | ALL PRODUCTS | $6,058.00 | ↑ +242% |
| HORIZON | SHP | $6,157.80 | ↑ +247% |
| HORIZON | HMO | $6,217.20 | ↑ +251% |
| HORIZON | INDEMNITY | $6,303.00 | ↑ +256% |
| HORIZON | PPO | $6,375.60 | ↑ +260% |
| 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
Fixation of knee joint 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 | $339.39 – $1,978.98 |
| Ocean University Medical Center | Brick | $1,749.06 | $326.92 – $2,718.61 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,772.97 | $127.38 – $2,718.61 |
| Jersey Shore University Medical Center | Neptune City | $1,771.43 | $326.92 – $2,125.72 |
| Palisades Medical Center | North Bergen | $1,884.74 | $125.47 – $2,054.37 |
| Riverview Medical Center | Red Bank | $1,771.43 | $326.92 – $2,125.72 |
| Southern Ocean Medical Center | Manahawkin | $1,749.06 | $326.92 – $2,098.87 |