Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$11,593.70
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.
$35,616.00
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.
$730.78 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 | $730.78 | ↓ -94% |
| KARNA | MEDICARE ADVANTAGE | $1,075.73 | ↓ -91% |
| AETNA | MANAGED MEDICAID | $4,736.93 | ↓ -59% |
| AMERIHEALTH | LOCAL HMO | $5,096.28 | ↓ -56% |
| AMERIHEALTH | REGIONAL HMO | $5,694.36 | ↓ -51% |
| CLOVER | MEDICARE ADVANTAGE | $6,410.88 | ↓ -45% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $7,372.51 | ↓ -36% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $11,593.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $11,593.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $11,593.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $11,593.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $12,173.39 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $12,405.26 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $12,637.14 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $13,912.44 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $20,977.82 | ↑ +81% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $22,794.24 | ↑ +97% |
| QUALCARE | WORKERS COMP | $23,684.64 | ↑ +104% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $26,712.00 | ↑ +130% |
| BERGEN RISK | ALL PRODUCTS | $26,712.00 | ↑ +130% |
| HORIZON | OMNIA | $27,210.62 | ↑ +135% |
| HORIZON | PIP | $27,566.78 | ↑ +138% |
| HORIZON | WORKERS COMP | $27,759.11 | ↑ +139% |
| AETNA | ASA | $27,887.33 | ↑ +141% |
| CIGNA | BH | $28,492.80 | ↑ +146% |
| HORIZON | INDEMNITY | $29,928.12 | ↑ +158% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $30,273.60 | ↑ +161% |
| AETNA | PPO | $32,054.40 | ↑ +176% |
| AETNA | HMO | $32,054.40 | ↑ +176% |
| QUALCARE | PPO | $32,339.33 | ↑ +179% |
| QUALCARE | HMO | $32,339.33 | ↑ +179% |
| HORIZON | SHP | $33,229.73 | ↑ +187% |
| HORIZON | HMO | $33,550.27 | ↑ +189% |
| CIGNA | PPO | $34,059.58 | ↑ +194% |
| CIGNA | HMO | $34,059.58 | ↑ +194% |
| HORIZON | PPO | $34,405.06 | ↑ +197% |
| OXFORD | ALL PRODUCTS | $61,525.00 | ↑ +431% |
| UNITED HEALTHCARE | HMO | $62,982.00 | ↑ +443% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $485.23 – $23,482.52 |
| Community Medical Center | Toms River | $3,786.00 | $496.93 – $22,760.33 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $479.39 – $23,365.11 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $265.39 – $23,482.52 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $333.63 – $24,525.95 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $958.78 – $23,051.48 |
| Bayshore Medical Center | Holmdel | $11,583.66 | $11,583.66 – $13,900.39 |
| Hackensack University Medical Center | Hackensack | $12,324.60 | $1,075.73 – $12,940.83 |