Ins/rpl pm gen exist sgl lead at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$9,168.30
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.
$20,867.00
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.
$496.38 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 | $496.38 | ↓ -95% |
| KARNA | MEDICARE ADVANTAGE | $676.45 | ↓ -93% |
| AMERIHEALTH | LOCAL HMO | $2,669.48 | ↓ -71% |
| AETNA | MANAGED MEDICAID | $2,775.31 | ↓ -70% |
| AMERIHEALTH | REGIONAL HMO | $2,982.76 | ↓ -67% |
| CLOVER | MEDICARE ADVANTAGE | $3,756.06 | ↓ -59% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $4,319.47 | ↓ -53% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $9,168.30 | ↑ +0% |
| VACCN | ALL PRODUCTS | $9,168.30 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $9,168.30 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $9,168.30 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $9,626.71 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $9,810.08 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $9,993.44 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $11,001.96 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $12,290.66 | ↑ +34% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $13,354.88 | ↑ +46% |
| QUALCARE | WORKERS COMP | $13,876.56 | ↑ +51% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $15,650.25 | ↑ +71% |
| BERGEN RISK | ALL PRODUCTS | $15,650.25 | ↑ +71% |
| HORIZON | OMNIA | $15,942.39 | ↑ +74% |
| HORIZON | PIP | $16,151.06 | ↑ +76% |
| HORIZON | WORKERS COMP | $16,263.74 | ↑ +77% |
| AETNA | ASA | $16,338.86 | ↑ +78% |
| CIGNA | BH | $16,693.60 | ↑ +82% |
| HORIZON | INDEMNITY | $17,534.54 | ↑ +91% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $17,736.95 | ↑ +93% |
| AETNA | PPO | $18,780.30 | ↑ +105% |
| AETNA | HMO | $18,780.30 | ↑ +105% |
| QUALCARE | PPO | $18,947.24 | ↑ +107% |
| QUALCARE | HMO | $18,947.24 | ↑ +107% |
| HORIZON | SHP | $19,468.91 | ↑ +112% |
| HORIZON | HMO | $19,656.71 | ↑ +114% |
| CIGNA | PPO | $19,955.11 | ↑ +118% |
| CIGNA | HMO | $19,955.11 | ↑ +118% |
| HORIZON | PPO | $20,157.52 | ↑ +120% |
| OXFORD | ALL PRODUCTS | $61,525.00 | ↑ +571% |
| UNITED HEALTHCARE | HMO | $62,982.00 | ↑ +587% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ins/rpl pm gen exist sgl lead at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $161.80 – $18,089.30 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $329.59 – $18,569.98 |
| Community Medical Center | Toms River | $3,786.00 | $337.54 – $17,998.85 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $325.62 – $18,477.13 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $166.56 – $18,569.98 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $209.39 – $19,395.12 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $651.24 – $18,229.10 |
| Bayshore Medical Center | Holmdel | $9,160.35 | $9,160.35 – $10,992.42 |