Kidney imag w/bld flow multi at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$596.31
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.
$2,970.00
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.
$324.00 with HORIZON vs $2,869.02 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $324.00 | ↓ -46% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $334.54 | ↓ -44% |
| AETNA | MANAGED MEDICAID | $395.01 | ↓ -34% |
| AMERIHEALTH | LOCAL HMO | $499.26 | ↓ -16% |
| AMERIHEALTH | REGIONAL HMO | $503.35 | ↓ -16% |
| CLOVER | MEDICARE ADVANTAGE | $534.60 | ↓ -10% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $596.31 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $596.31 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $596.31 | ↑ +0% |
| VACCN | ALL PRODUCTS | $596.31 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $614.79 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $626.12 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $638.05 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $649.97 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $656.26 | ↑ +10% |
| UNITED HEALTHCARE | DSNP | $715.57 | ↑ +20% |
| AETNA | PPO | $868.61 | ↑ +46% |
| AETNA | HMO | $868.61 | ↑ +46% |
| CIGNA | HMO | $1,096.82 | ↑ +84% |
| CIGNA | PPO | $1,096.82 | ↑ +84% |
| UNITED HEALTHCARE | HMO | $1,325.05 | ↑ +122% |
| OXFORD | ALL PRODUCTS | $1,325.05 | ↑ +122% |
| QUALCARE | WORKERS COMP | $1,639.44 | ↑ +175% |
| QUALCARE | PPO | $2,141.37 | ↑ +259% |
| QUALCARE | HMO | $2,141.37 | ↑ +259% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,227.50 | ↑ +274% |
| BERGEN RISK | ALL PRODUCTS | $2,227.50 | ↑ +274% |
| HORIZON | OMNIA | $2,269.08 | ↑ +281% |
| HORIZON | PIP | $2,298.78 | ↑ +286% |
| HORIZON | WORKERS COMP | $2,314.82 | ↑ +288% |
| AETNA | ASA | $2,325.51 | ↑ +290% |
| CIGNA | BH | $2,376.00 | ↑ +298% |
| HORIZON | INDEMNITY | $2,495.69 | ↑ +319% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,524.50 | ↑ +323% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,673.00 | ↑ +348% |
| HORIZON | SHP | $2,771.01 | ↑ +365% |
| HORIZON | HMO | $2,797.74 | ↑ +369% |
| HORIZON | PPO | $2,869.02 | ↑ +381% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Kidney imag w/bld flow multi at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $500.08 | $236.16 – $1,424.76 |
| Community Medical Center | Toms River | $592.95 | $236.16 – $1,424.76 |
| Clara Maass Medical Center | Belleville | $605.25 | $236.16 – $1,424.76 |
| Newark Beth Israel Medical Center | Newark | $491.58 | $181.43 – $1,424.76 |
| Jersey City Medical Center | Jersey City | $594.10 | $228.08 – $1,424.76 |
| Monmouth Medical Center | Long Branch | $625.54 | $236.16 – $1,424.76 |
| Bayshore Medical Center | Holmdel | $595.79 | $334.54 – $1,325.05 |
| Hackensack University Medical Center | Hackensack | $633.90 | $214.08 – $1,513.47 |