In-111 ibritumomab tiux dx at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$798.02
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.
$2,102.10
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.
$378.38 with CLOVER vs $6,362.89 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $378.38 | ↓ -53% |
| QUALCARE | HMO | $788.29 | ↓ -1% |
| QUALCARE | PPO | $788.29 | ↓ -1% |
| QUALCARE | WORKERS COMP | $788.29 | ↓ -1% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $798.02 | ↑ +0% |
| VACCN | ALL PRODUCTS | $798.02 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $837.92 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $853.88 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $869.84 | ↑ +9% |
| WELLCARE | MANAGED MEDICAID | $945.95 | ↑ +19% |
| WELLCARE | MEDICARE ADVANTAGE | $945.95 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $957.62 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $996.19 | ↑ +25% |
| AETNA | MANAGED MEDICAID | $1,030.03 | ↑ +29% |
| CIGNA | HMO | $1,040.54 | ↑ +30% |
| CIGNA | PPO | $1,040.54 | ↑ +30% |
| AMERIGROUP | MANAGED MEDICAID | $1,051.05 | ↑ +32% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,051.05 | ↑ +32% |
| AMERIHEALTH | REGIONAL HMO | $1,113.69 | ↑ +40% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,238.14 | ↑ +55% |
| BERGEN RISK | ALL PRODUCTS | $1,261.26 | ↑ +58% |
| AETNA | PPO | $1,303.30 | ↑ +63% |
| AETNA | HMO | $1,303.30 | ↑ +63% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,576.58 | ↑ +98% |
| HORIZON | OMNIA | $1,606.00 | ↑ +101% |
| HORIZON | PIP | $1,627.03 | ↑ +104% |
| HORIZON | WORKERS COMP | $1,638.38 | ↑ +105% |
| AETNA | ASA | $1,645.94 | ↑ +106% |
| CIGNA | BH | $1,681.68 | ↑ +111% |
| HORIZON | INDEMNITY | $1,766.39 | ↑ +121% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,786.79 | ↑ +124% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,891.89 | ↑ +137% |
| HORIZON | SHP | $1,961.26 | ↑ +146% |
| HORIZON | HMO | $1,980.18 | ↑ +148% |
| HORIZON | PPO | $2,030.63 | ↑ +154% |
| KARNA | MEDICARE ADVANTAGE | $6,362.89 | ↑ +697% |
| 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 ibritumomab tiux dx at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $798.02 | $798.02 – $957.62 |
| Hackensack University Medical Center | Hackensack | $798.02 | $638.42 – $6,362.89 |
| Ocean University Medical Center | Brick | $798.02 | $798.02 – $6,231.32 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $798.02 | $798.02 – $6,362.89 |
| Jersey Shore University Medical Center | Neptune City | $798.02 | $798.02 – $6,231.32 |
| Palisades Medical Center | North Bergen | $798.02 | $798.02 – $6,362.89 |
| Riverview Medical Center | Red Bank | $798.02 | $798.02 – $6,231.32 |
| Southern Ocean Medical Center | Manahawkin | $798.02 | $798.02 – $6,231.32 |