Lower Back (Lumbar Spine) CT scan (with and without contrast) at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$197.21
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.
$3,843.00
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.
$197.21 with WELLCARE vs $3,712.34 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 |
|---|---|---|---|
| WELLCARE | MANAGED MEDICAID | $197.21 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $197.21 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $197.21 | ↑ +0% |
| VACCN | ALL PRODUCTS | $197.21 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $207.07 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $211.02 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $214.96 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $236.66 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $391.84 | ↑ +99% |
| HORIZON | MANAGED MEDICAID | $393.75 | ↑ +100% |
| CIGNA | PPO | $431.16 | ↑ +119% |
| CIGNA | HMO | $431.16 | ↑ +119% |
| OXFORD | ALL PRODUCTS | $434.32 | ↑ +120% |
| UNITED HEALTHCARE | HMO | $434.32 | ↑ +120% |
| AETNA | MANAGED MEDICAID | $511.12 | ↑ +159% |
| AETNA | HMO | $578.64 | ↑ +193% |
| AETNA | PPO | $578.64 | ↑ +193% |
| CLOVER | MEDICARE ADVANTAGE | $691.74 | ↑ +251% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $714.00 | ↑ +262% |
| AMERIHEALTH | LOCAL HMO | $775.74 | ↑ +293% |
| AMERIHEALTH | REGIONAL HMO | $782.10 | ↑ +297% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $795.50 | ↑ +303% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $954.00 | ↑ +384% |
| QUALCARE | WORKERS COMP | $1,752.00 | ↑ +788% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,651.67 | ↑ +1245% |
| BERGEN RISK | ALL PRODUCTS | $2,882.25 | ↑ +1362% |
| QUALCARE | HMO | $2,921.00 | ↑ +1381% |
| QUALCARE | PPO | $2,921.00 | ↑ +1381% |
| HORIZON | OMNIA | $2,936.05 | ↑ +1389% |
| HORIZON | PIP | $2,974.48 | ↑ +1408% |
| HORIZON | WORKERS COMP | $2,995.23 | ↑ +1419% |
| AETNA | ASA | $3,009.07 | ↑ +1426% |
| CIGNA | BH | $3,074.40 | ↑ +1459% |
| HORIZON | INDEMNITY | $3,229.27 | ↑ +1537% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,266.55 | ↑ +1556% |
| HORIZON | SHP | $3,585.52 | ↑ +1718% |
| HORIZON | HMO | $3,620.11 | ↑ +1736% |
| HORIZON | PPO | $3,712.34 | ↑ +1782% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) CT scan (with and without contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $521.43 | $105.52 – $735.87 |
| Cooperman Barnabas Medical Center | Livingston | $592.89 | $199.72 – $726.00 |
| Clara Maass Medical Center | Belleville | $807.13 | $199.72 – $726.00 |
| Newark Beth Israel Medical Center | Newark | $582.82 | $108.62 – $726.00 |
| Jersey City Medical Center | Jersey City | $577.26 | $136.55 – $704.00 |
| Monmouth Medical Center | Long Branch | $607.82 | $197.04 – $726.00 |
| Bayshore Medical Center | Holmdel | $197.04 | $197.04 – $1,762.00 |
| Hackensack University Medical Center | Hackensack | $209.65 | $167.72 – $3,036.82 |