Hla i typing low res one locus ea at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$127.43
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.
$495.00
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.
$27.66 with AETNA vs $583.93 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 | $27.66 | ↓ -78% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $122.51 | ↓ -4% |
| CLOVER | MEDICARE ADVANTAGE | $127.43 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $127.43 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $127.43 | ↑ +0% |
| VACCN | ALL PRODUCTS | $127.43 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $127.43 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $127.43 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $133.80 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $136.35 | ↑ +7% |
| QUALCARE | WORKERS COMP | $138.32 | ↑ +9% |
| AETNA | MEDICARE ADVANTAGE | $138.90 | ↑ +9% |
| AETNA | PPO | $143.10 | ↑ +12% |
| AETNA | HMO | $143.10 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $152.92 | ↑ +20% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $156.00 | ↑ +22% |
| BERGEN RISK | ALL PRODUCTS | $156.00 | ↑ +22% |
| HORIZON | OMNIA | $158.91 | ↑ +25% |
| HORIZON | PIP | $160.99 | ↑ +26% |
| HORIZON | WORKERS COMP | $162.12 | ↑ +27% |
| AETNA | ASA | $162.86 | ↑ +28% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $166.40 | ↑ +31% |
| CIGNA | BH | $166.40 | ↑ +31% |
| KARNA | MEDICARE ADVANTAGE | $169.48 | ↑ +33% |
| HORIZON | INDEMNITY | $174.78 | ↑ +37% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $176.80 | ↑ +39% |
| AMERIHEALTH | LOCAL HMO | $180.02 | ↑ +41% |
| QUALCARE | HMO | $188.86 | ↑ +48% |
| QUALCARE | PPO | $188.86 | ↑ +48% |
| HORIZON | SHP | $194.06 | ↑ +52% |
| HORIZON | HMO | $195.94 | ↑ +54% |
| HORIZON | PPO | $200.93 | ↑ +58% |
| AMERIHEALTH | REGIONAL HMO | $202.36 | ↑ +59% |
| UNITED HEALTHCARE | HMO | $261.55 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $261.55 | ↑ +105% |
| CIGNA | HMO | $583.93 | ↑ +358% |
| CIGNA | PPO | $583.93 | ↑ +358% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Hla i typing low res one locus ea at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $127.43 | $127.43 – $583.93 |
| Hackensack University Medical Center | Hackensack | $127.43 | $91.03 – $572.22 |
| Ocean University Medical Center | Brick | $127.43 | $112.13 – $583.93 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $127.43 | $112.13 – $599.72 |
| Jersey Shore University Medical Center | Neptune City | $127.43 | $101.94 – $583.93 |
| Palisades Medical Center | North Bergen | $127.43 | $100.42 – $583.93 |
| Riverview Medical Center | Red Bank | $127.43 | $70.41 – $583.93 |
| Southern Ocean Medical Center | Manahawkin | $127.43 | $127.43 – $583.93 |