Ligation/biopsy of temporal artery 37609 at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$1,794.93
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.
$6,596.00
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.
$180.00 with HORIZON vs $9,933.00 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $180.00 | ↓ -90% |
| KARNA | MEDICARE ADVANTAGE | $434.73 | ↓ -76% |
| AETNA | MANAGED MEDICAID | $877.27 | ↓ -51% |
| AETNA | MEDICARE ADVANTAGE | $1,022.38 | ↓ -43% |
| CLOVER | MEDICARE ADVANTAGE | $1,187.28 | ↓ -34% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -34% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,365.37 | ↓ -24% |
| VACCN | ALL PRODUCTS | $1,794.93 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,794.93 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,794.93 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,794.93 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,884.68 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,920.58 | ↑ +7% |
| UNITED HEALTHCARE | DSNP | $2,153.92 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $2,669.48 | ↑ +49% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↑ +62% |
| CIGNA | HMO | $2,981.00 | ↑ +66% |
| AMERIHEALTH | REGIONAL HMO | $2,982.76 | ↑ +66% |
| CIGNA | PPO | $3,336.00 | ↑ +86% |
| BERGEN RISK | ALL PRODUCTS | $4,947.00 | ↑ +176% |
| HORIZON | OMNIA | $5,039.34 | ↑ +181% |
| AETNA | ASA | $5,164.67 | ↑ +188% |
| CIGNA | BH | $5,276.80 | ↑ +194% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↑ +199% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,606.60 | ↑ +212% |
| QUALCARE | PPO | $5,804.48 | ↑ +223% |
| QUALCARE | HMO | $5,804.48 | ↑ +223% |
| OXFORD | ALL PRODUCTS | $6,058.00 | ↑ +238% |
| HORIZON | SHP | $6,154.07 | ↑ +243% |
| HORIZON | HMO | $6,213.43 | ↑ +246% |
| HORIZON | INDEMNITY | $6,299.18 | ↑ +251% |
| HORIZON | PPO | $6,371.74 | ↑ +255% |
| HORIZON | WORKERS COMP | $6,415.00 | ↑ +257% |
| HORIZON | PIP | $6,602.00 | ↑ +268% |
| UNITED HEALTHCARE | HMO | $7,579.00 | ↑ +322% |
| AETNA | HMO | $8,419.00 | ↑ +369% |
| AETNA | PPO | $8,419.00 | ↑ +369% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +453% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ligation/biopsy of temporal artery 37609 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $160.23 – $3,541.46 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $119.52 – $3,635.56 |
| Community Medical Center | Toms River | $3,786.00 | $122.40 – $3,523.75 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $118.08 – $3,617.38 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $164.94 – $3,635.56 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $129.60 – $3,797.10 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $236.16 – $3,568.83 |
| Bayshore Medical Center | Holmdel | $1,793.38 | $1,793.38 – $2,152.05 |