Galac-1-phosphate uridyltran - sendout at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$21.07
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.
$436.00
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.
$11.44 with AETNA vs $96.55 with CIGNA — 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 | $11.44 | ↓ -46% |
| WELLCARE | MEDICARE ADVANTAGE | $21.07 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $21.07 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $21.07 | ↑ +0% |
| VACCN | ALL PRODUCTS | $21.07 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $21.07 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $21.07 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $22.12 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $22.54 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $22.97 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $25.28 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $28.02 | ↑ +33% |
| OXFORD | ALL PRODUCTS | $43.25 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $43.25 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $46.23 | ↑ +119% |
| QUALCARE | WORKERS COMP | $57.19 | ↑ +171% |
| AETNA | PPO | $59.17 | ↑ +181% |
| AETNA | HMO | $59.17 | ↑ +181% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $64.50 | ↑ +206% |
| BERGEN RISK | ALL PRODUCTS | $64.50 | ↑ +206% |
| HORIZON | OMNIA | $65.70 | ↑ +212% |
| HORIZON | PIP | $66.56 | ↑ +216% |
| HORIZON | WORKERS COMP | $67.03 | ↑ +218% |
| AETNA | ASA | $67.34 | ↑ +220% |
| CIGNA | BH | $68.80 | ↑ +227% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $68.80 | ↑ +227% |
| HORIZON | INDEMNITY | $72.27 | ↑ +243% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $73.10 | ↑ +247% |
| AMERIHEALTH | LOCAL HMO | $74.43 | ↑ +253% |
| QUALCARE | PPO | $78.09 | ↑ +271% |
| QUALCARE | HMO | $78.09 | ↑ +271% |
| HORIZON | SHP | $80.24 | ↑ +281% |
| HORIZON | HMO | $81.01 | ↑ +284% |
| HORIZON | PPO | $83.08 | ↑ +294% |
| AMERIHEALTH | REGIONAL HMO | $83.67 | ↑ +297% |
| CIGNA | HMO | $96.55 | ↑ +358% |
| CIGNA | PPO | $96.55 | ↑ +358% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Galac-1-phosphate uridyltran - sendout at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $21.07 | $21.07 – $96.55 |
| Hackensack University Medical Center | Hackensack | $21.07 | $16.86 – $94.61 |
| Ocean University Medical Center | Brick | $21.07 | $4.11 – $96.55 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $21.07 | $4.11 – $99.16 |
| Jersey Shore University Medical Center | Neptune City | $21.07 | $16.86 – $96.55 |
| Palisades Medical Center | North Bergen | $21.07 | $21.07 – $96.55 |
| Riverview Medical Center | Red Bank | $21.07 | $16.51 – $96.55 |
| Southern Ocean Medical Center | Manahawkin | $21.07 | $21.07 – $96.55 |