Hc nm myocard infarct avid plnr tomo spect w/wo quant at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$596.31
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.
$1,785.00
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.
$237.41 with AETNA vs $1,724.31 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $237.41 | ↓ -60% |
| HORIZON | MANAGED MEDICAID | $262.67 | ↓ -56% |
| CLOVER | MEDICARE ADVANTAGE | $321.30 | ↓ -46% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $369.50 | ↓ -38% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $391.34 | ↓ -34% |
| KARNA | MEDICARE ADVANTAGE | $398.71 | ↓ -33% |
| AMERIHEALTH | LOCAL HMO | $497.27 | ↓ -17% |
| AMERIHEALTH | REGIONAL HMO | $501.35 | ↓ -16% |
| AETNA | HMO | $533.46 | ↓ -11% |
| AETNA | PPO | $533.46 | ↓ -11% |
| WELLCARE | MANAGED MEDICAID | $596.31 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $596.31 | ↑ +0% |
| VACCN | ALL PRODUCTS | $596.31 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $596.31 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $626.12 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $638.05 | ↑ +7% |
| CIGNA | HMO | $641.33 | ↑ +8% |
| CIGNA | PPO | $641.33 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $649.97 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $715.57 | ↑ +20% |
| QUALCARE | WORKERS COMP | $985.32 | ↑ +65% |
| QUALCARE | PPO | $1,286.99 | ↑ +116% |
| QUALCARE | HMO | $1,286.99 | ↑ +116% |
| UNITED HEALTHCARE | HMO | $1,325.05 | ↑ +122% |
| OXFORD | ALL PRODUCTS | $1,325.05 | ↑ +122% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,338.75 | ↑ +125% |
| BERGEN RISK | ALL PRODUCTS | $1,338.75 | ↑ +125% |
| HORIZON | OMNIA | $1,363.74 | ↑ +129% |
| HORIZON | PIP | $1,381.59 | ↑ +132% |
| HORIZON | WORKERS COMP | $1,391.23 | ↑ +133% |
| AETNA | ASA | $1,397.66 | ↑ +134% |
| CIGNA | BH | $1,428.00 | ↑ +139% |
| HORIZON | INDEMNITY | $1,499.94 | ↑ +152% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,517.25 | ↑ +154% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,606.50 | ↑ +169% |
| HORIZON | SHP | $1,665.41 | ↑ +179% |
| HORIZON | HMO | $1,681.47 | ↑ +182% |
| HORIZON | PPO | $1,724.31 | ↑ +189% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Hc nm myocard infarct avid plnr tomo spect w/wo quant at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $595.79 | $391.34 – $1,325.05 |
| Hackensack University Medical Center | Hackensack | $633.90 | $173.56 – $1,513.47 |
| Ocean University Medical Center | Brick | $588.26 | $378.59 – $1,325.05 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $596.31 | $398.71 – $1,403.35 |
| Jersey Shore University Medical Center | Neptune City | $595.79 | $378.59 – $1,503.68 |
| Palisades Medical Center | North Bergen | $633.90 | $191.45 – $1,325.05 |
| Riverview Medical Center | Red Bank | $595.79 | $163.44 – $1,325.05 |
| Southern Ocean Medical Center | Manahawkin | $588.26 | $378.59 – $641.33 |