Ketorolac 15 mg/ml injection (wrapper) at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$0.39
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.
$31.34
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.
$0.19 with CLOVER vs $1.02 with HORIZON — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $0.19 | ↓ -51% |
| HORIZON | MANAGED MEDICAID | $0.30 | ↓ -23% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $0.39 | ↑ +0% |
| VACCN | ALL PRODUCTS | $0.39 | ↑ +0% |
| QUALCARE | HMO | $0.40 | ↑ +3% |
| QUALCARE | PPO | $0.40 | ↑ +3% |
| QUALCARE | WORKERS COMP | $0.40 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $0.41 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $0.41 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $0.42 | ↑ +8% |
| UNITED HEALTHCARE | DSNP | $0.47 | ↑ +21% |
| WELLCARE | MANAGED MEDICAID | $0.48 | ↑ +23% |
| WELLCARE | MEDICARE ADVANTAGE | $0.48 | ↑ +23% |
| AMERIHEALTH | LOCAL HMO | $0.50 | ↑ +28% |
| AETNA | MANAGED MEDICAID | $0.52 | ↑ +33% |
| CIGNA | HMO | $0.52 | ↑ +33% |
| CIGNA | PPO | $0.52 | ↑ +33% |
| AMERIGROUP | MANAGED MEDICAID | $0.53 | ↑ +36% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $0.53 | ↑ +36% |
| AMERIHEALTH | REGIONAL HMO | $0.56 | ↑ +44% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $0.62 | ↑ +59% |
| BERGEN RISK | ALL PRODUCTS | $0.64 | ↑ +64% |
| KARNA | MEDICARE ADVANTAGE | $0.65 | ↑ +67% |
| AETNA | HMO | $0.65 | ↑ +67% |
| AETNA | PPO | $0.65 | ↑ +67% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $0.80 | ↑ +105% |
| HORIZON | OMNIA | $0.81 | ↑ +108% |
| HORIZON | PIP | $0.82 | ↑ +110% |
| AETNA | ASA | $0.83 | ↑ +113% |
| HORIZON | WORKERS COMP | $0.83 | ↑ +113% |
| CIGNA | BH | $0.85 | ↑ +118% |
| HORIZON | INDEMNITY | $0.89 | ↑ +128% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $0.90 | ↑ +131% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $0.95 | ↑ +144% |
| HORIZON | SHP | $0.99 | ↑ +154% |
| HORIZON | HMO | $1.00 | ↑ +156% |
| UNITED HEALTHCARE | HMO | $1.01 | ↑ +159% |
| OXFORD | ALL PRODUCTS | $1.01 | ↑ +159% |
| HORIZON | PPO | $1.02 | ↑ +162% |
Visitor-reported prices
Comments
Ketorolac 15 mg/ml injection (wrapper) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | not published | $0.52 – $1.63 |
| Cooperman Barnabas Medical Center | Livingston | not published | $0.31 – $1.68 |
| Community Medical Center | Toms River | not published | $0.31 – $1.63 |
| Clara Maass Medical Center | Belleville | not published | $0.31 – $1.67 |
| Newark Beth Israel Medical Center | Newark | not published | $0.31 – $1.67 |
| Jersey City Medical Center | Jersey City | not published | $0.31 – $1.75 |
| Monmouth Medical Center | Long Branch | not published | $0.31 – $1.65 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | not published | $0.31 – $1.63 |