Ins pm gen w/exist mlt leads at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$21,127.41
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.
$23,143.00
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.
$378.90 with HORIZON vs $62,982.00 with UNITED HEALTHCARE — 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 | $378.90 | ↓ -98% |
| KARNA | MEDICARE ADVANTAGE | $748.11 | ↓ -96% |
| AMERIHEALTH | LOCAL HMO | $2,669.48 | ↓ -87% |
| AMERIHEALTH | REGIONAL HMO | $2,982.76 | ↓ -86% |
| AETNA | MANAGED MEDICAID | $3,078.02 | ↓ -85% |
| CLOVER | MEDICARE ADVANTAGE | $4,165.74 | ↓ -80% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $4,790.60 | ↓ -77% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $13,631.23 | ↓ -35% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $14,811.52 | ↓ -30% |
| QUALCARE | WORKERS COMP | $15,390.10 | ↓ -27% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $17,357.25 | ↓ -18% |
| BERGEN RISK | ALL PRODUCTS | $17,357.25 | ↓ -18% |
| HORIZON | OMNIA | $17,681.25 | ↓ -16% |
| HORIZON | PIP | $17,912.68 | ↓ -15% |
| HORIZON | WORKERS COMP | $18,037.65 | ↓ -15% |
| AETNA | ASA | $18,120.97 | ↓ -14% |
| CIGNA | BH | $18,514.40 | ↓ -12% |
| HORIZON | INDEMNITY | $19,447.06 | ↓ -8% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $19,671.55 | ↓ -7% |
| AETNA | PPO | $20,828.70 | ↓ -1% |
| AETNA | HMO | $20,828.70 | ↓ -1% |
| QUALCARE | HMO | $21,013.84 | ↓ -1% |
| QUALCARE | PPO | $21,013.84 | ↓ -1% |
| WELLCARE | MEDICARE ADVANTAGE | $21,127.41 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $21,127.41 | ↑ +0% |
| VACCN | ALL PRODUCTS | $21,127.41 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $21,127.41 | ↑ +0% |
| HORIZON | SHP | $21,592.42 | ↑ +2% |
| HORIZON | HMO | $21,800.71 | ↑ +3% |
| CIGNA | HMO | $22,131.65 | ↑ +5% |
| CIGNA | PPO | $22,131.65 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $22,183.78 | ↑ +5% |
| HORIZON | PPO | $22,356.14 | ↑ +6% |
| AMERIGROUP | MEDICARE ADVANTAGE | $22,606.33 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $23,028.88 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $25,352.90 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $61,525.00 | ↑ +191% |
| UNITED HEALTHCARE | HMO | $62,982.00 | ↑ +198% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ins pm gen w/exist mlt leads at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $178.93 – $41,684.98 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $251.59 – $42,792.64 |
| Community Medical Center | Toms River | $3,786.00 | $257.65 – $41,476.56 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $248.56 – $42,578.68 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $184.19 – $42,792.64 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $231.55 – $44,694.09 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $497.12 – $42,007.11 |
| Bayshore Medical Center | Holmdel | $21,109.10 | $21,109.10 – $25,330.93 |