Interrog&prgrmg ipnss at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$101.69
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.
?
What you pay up front if you don't use insurance.
$280.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$37.24 with AETNA vs $11,920.00 with BRIGHTON HEALTH PLAN — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $37.24 | ↓ -63% |
| CLOVER | MEDICARE ADVANTAGE | $50.40 | ↓ -50% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $57.96 | ↓ -43% |
| KARNA | MEDICARE ADVANTAGE | $72.90 | ↓ -28% |
| VACCN | ALL PRODUCTS | $101.69 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $101.69 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $101.69 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $101.69 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $106.77 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $108.80 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $110.84 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $122.02 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $123.34 | ↑ +21% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $164.92 | ↑ +62% |
| OXFORD | ALL PRODUCTS | $169.60 | ↑ +67% |
| QUALCARE | WORKERS COMP | $186.20 | ↑ +83% |
| BERGEN RISK | ALL PRODUCTS | $210.00 | ↑ +107% |
| HORIZON | OMNIA | $213.92 | ↑ +110% |
| AETNA | ASA | $219.24 | ↑ +116% |
| CIGNA | BH | $224.00 | ↑ +120% |
| UNITED HEALTHCARE | HMO | $228.00 | ↑ +124% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $238.00 | ↑ +134% |
| AMERIHEALTH | LOCAL HMO | $242.34 | ↑ +138% |
| QUALCARE | HMO | $254.24 | ↑ +150% |
| QUALCARE | PPO | $254.24 | ↑ +150% |
| HORIZON | SHP | $261.24 | ↑ +157% |
| HORIZON | HMO | $263.76 | ↑ +159% |
| HORIZON | INDEMNITY | $267.40 | ↑ +163% |
| CIGNA | PPO | $267.76 | ↑ +163% |
| CIGNA | HMO | $267.76 | ↑ +163% |
| HORIZON | PPO | $270.48 | ↑ +166% |
| AMERIHEALTH | REGIONAL HMO | $272.41 | ↑ +168% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,392.00 | ↑ +3236% |
| HORIZON | WORKERS COMP | $6,415.00 | ↑ +6208% |
| HORIZON | PIP | $6,602.00 | ↑ +6392% |
| AETNA | PPO | $8,419.00 | ↑ +8179% |
| AETNA | HMO | $8,419.00 | ↑ +8179% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,920.00 | ↑ +11622% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Interrog&prgrmg ipnss at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $101.60 | $101.60 – $121.92 |
| Hackensack University Medical Center | Hackensack | $108.10 | $72.90 – $113.50 |
| Ocean University Medical Center | Brick | $100.32 | $37.72 – $14,806.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $101.69 | $37.72 – $14,806.00 |
| Jersey Shore University Medical Center | Neptune City | $101.60 | $70.81 – $121.92 |
| Palisades Medical Center | North Bergen | $108.10 | $72.90 – $117.83 |
| Riverview Medical Center | Red Bank | $101.60 | $70.81 – $121.92 |
| Southern Ocean Medical Center | Manahawkin | $100.32 | $70.81 – $120.38 |