Interrog dev eval scrms ip at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$27.13
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.
$112.00
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.
$14.90 with AETNA vs $108.96 with AMERIHEALTH — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $14.90 | ↓ -45% |
| CLOVER | MEDICARE ADVANTAGE | $20.16 | ↓ -26% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $23.18 | ↓ -15% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $27.13 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $27.13 | ↑ +0% |
| VACCN | ALL PRODUCTS | $27.13 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $27.13 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $28.49 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $29.03 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $29.57 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $32.56 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $50.73 | ↑ +87% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $65.97 | ↑ +143% |
| OXFORD | ALL PRODUCTS | $67.84 | ↑ +150% |
| QUALCARE | WORKERS COMP | $74.48 | ↑ +175% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $84.00 | ↑ +210% |
| BERGEN RISK | ALL PRODUCTS | $84.00 | ↑ +210% |
| HORIZON | OMNIA | $85.57 | ↑ +215% |
| KARNA | MEDICARE ADVANTAGE | $86.49 | ↑ +219% |
| HORIZON | PIP | $86.69 | ↑ +220% |
| HORIZON | WORKERS COMP | $87.29 | ↑ +222% |
| AETNA | ASA | $87.70 | ↑ +223% |
| CIGNA | BH | $89.60 | ↑ +230% |
| UNITED HEALTHCARE | HMO | $91.20 | ↑ +236% |
| HORIZON | INDEMNITY | $94.11 | ↑ +247% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $95.20 | ↑ +251% |
| AMERIHEALTH | LOCAL HMO | $96.94 | ↑ +257% |
| AETNA | HMO | $100.80 | ↑ +272% |
| AETNA | PPO | $100.80 | ↑ +272% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $100.80 | ↑ +272% |
| QUALCARE | HMO | $101.70 | ↑ +275% |
| QUALCARE | PPO | $101.70 | ↑ +275% |
| HORIZON | SHP | $104.50 | ↑ +285% |
| HORIZON | HMO | $105.50 | ↑ +289% |
| CIGNA | PPO | $107.11 | ↑ +295% |
| CIGNA | HMO | $107.11 | ↑ +295% |
| HORIZON | PPO | $108.19 | ↑ +299% |
| AMERIHEALTH | REGIONAL HMO | $108.96 | ↑ +302% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Interrog dev eval scrms ip at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $40.65 | $26.76 – $53.25 |
| Newark Beth Israel Medical Center | Newark | $33.11 | $25.98 – $54.96 |
| Bayshore Medical Center | Holmdel | $27.11 | $27.11 – $32.53 |
| Hackensack University Medical Center | Hackensack | $28.84 | $23.07 – $2,033.00 |
| Ocean University Medical Center | Brick | $26.76 | $24.49 – $82.45 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $27.13 | $24.49 – $1,042.00 |
| Jersey Shore University Medical Center | Neptune City | $27.11 | $27.11 – $82.45 |
| Palisades Medical Center | North Bergen | $28.84 | $28.84 – $86.49 |