Ihc/icc per specimen initial single antibody stain at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$189.84
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.
$715.00
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.
$80.20 with UNITED HEALTHCARE vs $695.62 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $80.20 | ↓ -58% |
| AETNA | MANAGED MEDICAID | $95.10 | ↓ -50% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $148.01 | ↓ -22% |
| WELLCARE | MANAGED MEDICAID | $189.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $189.84 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $189.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $189.84 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $199.33 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $203.12 | ↑ +7% |
| KARNA | MEDICARE ADVANTAGE | $204.59 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $206.92 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $227.80 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $306.15 | ↑ +61% |
| OXFORD | ALL PRODUCTS | $306.15 | ↑ +61% |
| QUALCARE | WORKERS COMP | $475.48 | ↑ +150% |
| AETNA | PPO | $491.92 | ↑ +159% |
| AETNA | HMO | $491.92 | ↑ +159% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $536.25 | ↑ +182% |
| BERGEN RISK | ALL PRODUCTS | $536.25 | ↑ +182% |
| HORIZON | OMNIA | $546.26 | ↑ +188% |
| HORIZON | PIP | $553.41 | ↑ +192% |
| HORIZON | WORKERS COMP | $557.27 | ↑ +194% |
| AETNA | ASA | $559.85 | ↑ +195% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $572.00 | ↑ +201% |
| CIGNA | BH | $572.00 | ↑ +201% |
| HORIZON | INDEMNITY | $600.81 | ↑ +216% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $607.75 | ↑ +220% |
| AMERIHEALTH | LOCAL HMO | $618.83 | ↑ +226% |
| QUALCARE | HMO | $649.22 | ↑ +242% |
| QUALCARE | PPO | $649.22 | ↑ +242% |
| HORIZON | SHP | $667.10 | ↑ +251% |
| HORIZON | HMO | $673.53 | ↑ +255% |
| CIGNA | PPO | $683.75 | ↑ +260% |
| CIGNA | HMO | $683.75 | ↑ +260% |
| HORIZON | PPO | $690.69 | ↑ +264% |
| AMERIHEALTH | REGIONAL HMO | $695.62 | ↑ +266% |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ihc/icc per specimen initial single antibody stain at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $189.67 | $80.20 – $306.15 |
| Hackensack University Medical Center | Hackensack | $201.80 | $13.38 – $344.49 |
| Ocean University Medical Center | Brick | $187.28 | $11.94 – $194.67 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $189.84 | $11.94 – $325.17 |
| Jersey Shore University Medical Center | Neptune City | $189.67 | $80.20 – $333.37 |
| Palisades Medical Center | North Bergen | $201.80 | $14.76 – $629.14 |
| Riverview Medical Center | Red Bank | $189.67 | $10.35 – $306.15 |
| Southern Ocean Medical Center | Manahawkin | $187.28 | $80.20 – $204.13 |