Inj, fulvestrant (fresenius) at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$3.32
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.
$197.44
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.
$2.82 with HORIZON vs $190.73 with HORIZON — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $2.82 | ↓ -15% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3.32 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3.32 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3.49 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $3.55 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $3.62 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $3.98 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $35.54 | ↑ +970% |
| KARNA | MEDICARE ADVANTAGE | $70.49 | ↑ +2023% |
| QUALCARE | WORKERS COMP | $74.04 | ↑ +2130% |
| QUALCARE | HMO | $74.04 | ↑ +2130% |
| QUALCARE | PPO | $74.04 | ↑ +2130% |
| WELLCARE | MANAGED MEDICAID | $88.85 | ↑ +2576% |
| WELLCARE | MEDICARE ADVANTAGE | $88.85 | ↑ +2576% |
| AMERIHEALTH | LOCAL HMO | $93.57 | ↑ +2718% |
| AETNA | MANAGED MEDICAID | $96.75 | ↑ +2814% |
| CIGNA | PPO | $97.73 | ↑ +2844% |
| CIGNA | HMO | $97.73 | ↑ +2844% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $98.72 | ↑ +2873% |
| AMERIGROUP | MANAGED MEDICAID | $98.72 | ↑ +2873% |
| AMERIHEALTH | REGIONAL HMO | $104.60 | ↑ +3051% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $116.29 | ↑ +3403% |
| BERGEN RISK | ALL PRODUCTS | $118.46 | ↑ +3468% |
| AETNA | PPO | $120.44 | ↑ +3528% |
| AETNA | HMO | $120.44 | ↑ +3528% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $148.08 | ↑ +4360% |
| HORIZON | OMNIA | $150.84 | ↑ +4443% |
| HORIZON | PIP | $152.82 | ↑ +4503% |
| HORIZON | WORKERS COMP | $153.88 | ↑ +4535% |
| AETNA | ASA | $154.60 | ↑ +4557% |
| CIGNA | BH | $157.95 | ↑ +4658% |
| HORIZON | INDEMNITY | $165.91 | ↑ +4897% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $167.82 | ↑ +4955% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $177.70 | ↑ +5252% |
| HORIZON | SHP | $184.21 | ↑ +5448% |
| HORIZON | HMO | $185.99 | ↑ +5502% |
| HORIZON | PPO | $190.73 | ↑ +5645% |
| UNITED HEALTHCARE | HMO | not published by hospital | — |
| OXFORD | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Inj, fulvestrant (fresenius) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | not published | $2.95 – $56.18 |
| Cooperman Barnabas Medical Center | Livingston | not published | $2.95 – $56.18 |
| Community Medical Center | Toms River | not published | $2.95 – $56.18 |
| Clara Maass Medical Center | Belleville | not published | $2.95 – $56.18 |
| Newark Beth Israel Medical Center | Newark | not published | $2.95 – $56.18 |
| Jersey City Medical Center | Jersey City | not published | $2.95 – $56.18 |
| Monmouth Medical Center | Long Branch | not published | $2.95 – $56.18 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | not published | $2.95 – $56.18 |