Heart first pass add-on at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
not published by hospital
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.
?
What you pay up front if you don't use insurance.
$99.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$13.17 with AETNA vs $525.44 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $13.17 | — |
| AETNA | MEDICARE ADVANTAGE | $15.35 | — |
| CLOVER | MEDICARE ADVANTAGE | $17.82 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $20.49 | — |
| QUALCARE | WORKERS COMP | $54.65 | — |
| AETNA | HMO | $57.73 | — |
| AETNA | PPO | $57.73 | — |
| OXFORD | ALL PRODUCTS | $59.96 | — |
| HORIZON | MANAGED MEDICAID | $62.84 | — |
| CIGNA | PPO | $68.95 | — |
| CIGNA | HMO | $68.95 | — |
| QUALCARE | HMO | $71.38 | — |
| QUALCARE | PPO | $71.38 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $74.25 | — |
| BERGEN RISK | ALL PRODUCTS | $74.25 | — |
| HORIZON | OMNIA | $75.64 | — |
| HORIZON | PIP | $76.63 | — |
| HORIZON | WORKERS COMP | $77.16 | — |
| AETNA | ASA | $77.52 | — |
| CIGNA | BH | $79.20 | — |
| KARNA | MEDICARE ADVANTAGE | $79.54 | — |
| HORIZON | INDEMNITY | $83.19 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $84.15 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $89.10 | — |
| HORIZON | SHP | $92.37 | — |
| HORIZON | HMO | $93.26 | — |
| HORIZON | PPO | $95.63 | — |
| AMERIHEALTH | LOCAL HMO | $196.92 | — |
| AMERIHEALTH | REGIONAL HMO | $198.53 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $525.44 | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| UNITED HEALTHCARE | HMO | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MEDICARE ADVANTAGE | not published by hospital | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Heart first pass add-on at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | not published | $57.73 – $525.44 |
| Hackensack University Medical Center | Hackensack | not published | $41.52 – $197.41 |
| Ocean University Medical Center | Brick | not published | $57.73 – $525.44 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | not published | $70.82 – $176.09 |
| Jersey Shore University Medical Center | Neptune City | not published | $60.12 – $525.44 |
| Palisades Medical Center | North Bergen | not published | $45.81 – $196.92 |
| Riverview Medical Center | Red Bank | not published | $39.10 – $525.44 |
| Southern Ocean Medical Center | Manahawkin | not published | $64.05 – $525.44 |