Ghs optokenetic at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$173.33
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.
$416.00
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.
$30.55 with KARNA vs $404.73 with AMERIHEALTH — 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 | $30.55 | ↓ -82% |
| HORIZON | MANAGED MEDICAID | $35.00 | ↓ -80% |
| AETNA | MANAGED MEDICAID | $55.33 | ↓ -68% |
| CLOVER | MEDICARE ADVANTAGE | $74.88 | ↓ -57% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $86.11 | ↓ -50% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $173.33 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $173.33 | ↑ +0% |
| VACCN | ALL PRODUCTS | $173.33 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $173.33 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $182.00 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $185.46 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $188.93 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $208.00 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $245.02 | ↑ +41% |
| OXFORD | ALL PRODUCTS | $251.97 | ↑ +45% |
| QUALCARE | WORKERS COMP | $276.64 | ↑ +60% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $312.00 | ↑ +80% |
| BERGEN RISK | ALL PRODUCTS | $312.00 | ↑ +80% |
| HORIZON | OMNIA | $317.82 | ↑ +83% |
| HORIZON | PIP | $321.98 | ↑ +86% |
| UNITED HEALTHCARE | HMO | $322.00 | ↑ +86% |
| HORIZON | WORKERS COMP | $324.23 | ↑ +87% |
| AETNA | ASA | $325.73 | ↑ +88% |
| CIGNA | BH | $332.80 | ↑ +92% |
| HORIZON | INDEMNITY | $349.56 | ↑ +102% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $353.60 | ↑ +104% |
| AMERIHEALTH | LOCAL HMO | $360.05 | ↑ +108% |
| AETNA | PPO | $374.40 | ↑ +116% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $374.40 | ↑ +116% |
| AETNA | HMO | $374.40 | ↑ +116% |
| QUALCARE | HMO | $377.73 | ↑ +118% |
| QUALCARE | PPO | $377.73 | ↑ +118% |
| HORIZON | SHP | $388.13 | ↑ +124% |
| HORIZON | HMO | $391.87 | ↑ +126% |
| CIGNA | PPO | $397.82 | ↑ +130% |
| CIGNA | HMO | $397.82 | ↑ +130% |
| HORIZON | PPO | $401.86 | ↑ +132% |
| AMERIHEALTH | REGIONAL HMO | $404.73 | ↑ +134% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ghs optokenetic at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $465.00 |
| Hackensack University Medical Center | Hackensack | $184.26 | $30.55 – $487.00 |
| Ocean University Medical Center | Brick | $170.99 | $29.45 – $499.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $173.33 | $28.00 – $627.00 |
| Jersey Shore University Medical Center | Neptune City | $173.18 | $29.45 – $443.00 |
| Palisades Medical Center | North Bergen | $184.26 | $27.58 – $994.00 |
| Riverview Medical Center | Red Bank | $173.18 | $29.45 – $465.00 |
| Southern Ocean Medical Center | Manahawkin | $170.99 | $29.45 – $465.00 |