In-111 autol wbc diag per dose at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$1,031.39
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.
$5,941.49
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.
$357.11 with AETNA vs $7,385.16 with KARNA — 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 | $357.11 | ↓ -65% |
| CLOVER | MEDICARE ADVANTAGE | $483.30 | ↓ -53% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $555.80 | ↓ -46% |
| WELLCARE | MEDICARE ADVANTAGE | $1,031.39 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,031.39 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,031.39 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,031.39 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,082.96 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,103.59 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $1,124.22 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,237.67 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $1,272.42 | ↑ +23% |
| AMERIHEALTH | REGIONAL HMO | $1,422.51 | ↑ +38% |
| QUALCARE | WORKERS COMP | $1,482.12 | ↑ +44% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,581.47 | ↑ +53% |
| AETNA | PPO | $1,664.70 | ↑ +61% |
| AETNA | HMO | $1,664.70 | ↑ +61% |
| QUALCARE | PPO | $1,935.89 | ↑ +88% |
| QUALCARE | HMO | $1,935.89 | ↑ +88% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,013.75 | ↑ +95% |
| BERGEN RISK | ALL PRODUCTS | $2,013.75 | ↑ +95% |
| HORIZON | OMNIA | $2,051.34 | ↑ +99% |
| HORIZON | PIP | $2,078.19 | ↑ +101% |
| HORIZON | WORKERS COMP | $2,092.69 | ↑ +103% |
| AETNA | ASA | $2,102.36 | ↑ +104% |
| CIGNA | BH | $2,148.00 | ↑ +108% |
| HORIZON | INDEMNITY | $2,256.21 | ↑ +119% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,282.25 | ↑ +121% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,416.50 | ↑ +134% |
| HORIZON | SHP | $2,505.11 | ↑ +143% |
| HORIZON | HMO | $2,529.27 | ↑ +145% |
| CIGNA | HMO | $2,567.67 | ↑ +149% |
| CIGNA | PPO | $2,567.67 | ↑ +149% |
| HORIZON | PPO | $2,593.71 | ↑ +151% |
| AMERIGROUP | MANAGED MEDICAID | $2,970.75 | ↑ +188% |
| KARNA | MEDICARE ADVANTAGE | $7,385.16 | ↑ +616% |
| OXFORD | ALL PRODUCTS | not published by hospital | — |
| UNITED HEALTHCARE | HMO | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
In-111 autol wbc diag per dose at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,031.39 | $1,031.39 – $1,237.67 |
| Hackensack University Medical Center | Hackensack | $1,031.39 | $825.11 – $7,385.16 |
| Ocean University Medical Center | Brick | $1,031.39 | $0.01 – $7,232.46 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,031.39 | $0.01 – $7,385.16 |
| Jersey Shore University Medical Center | Neptune City | $1,031.39 | $1,031.39 – $7,232.46 |
| Palisades Medical Center | North Bergen | $1,031.39 | $1,031.39 – $7,385.16 |
| Riverview Medical Center | Red Bank | $1,031.39 | $1,031.39 – $7,232.46 |
| Southern Ocean Medical Center | Manahawkin | $1,031.39 | $1,031.39 – $7,232.46 |