Lower Back (Lumbar Spine) MRI (with and without contrast) at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$395.64
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.
$6,039.00
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.
$395.64 with HORIZON BCBS BRAVEN vs $5,833.67 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 BCBS BRAVEN | MEDICARE ADVANTAGE | $395.64 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $395.64 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $395.64 | ↑ +0% |
| VACCN | ALL PRODUCTS | $395.64 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $415.42 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $423.33 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $431.24 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $474.76 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $632.30 | ↑ +60% |
| CIGNA | PPO | $693.61 | ↑ +75% |
| CIGNA | HMO | $693.61 | ↑ +75% |
| AETNA | HMO | $739.16 | ↑ +87% |
| AETNA | PPO | $739.16 | ↑ +87% |
| AETNA | MANAGED MEDICAID | $803.19 | ↑ +103% |
| UNITED HEALTHCARE | HMO | $895.45 | ↑ +126% |
| OXFORD | ALL PRODUCTS | $895.45 | ↑ +126% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $951.00 | ↑ +140% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,060.00 | ↑ +168% |
| CLOVER | MEDICARE ADVANTAGE | $1,087.02 | ↑ +175% |
| HORIZON | MANAGED MEDICAID | $1,224.20 | ↑ +209% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,250.07 | ↑ +216% |
| AMERIHEALTH | LOCAL HMO | $1,531.59 | ↑ +287% |
| AMERIHEALTH | REGIONAL HMO | $1,544.15 | ↑ +290% |
| QUALCARE | WORKERS COMP | $1,947.00 | ↑ +392% |
| QUALCARE | HMO | $2,921.00 | ↑ +638% |
| QUALCARE | PPO | $2,921.00 | ↑ +638% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $4,166.91 | ↑ +953% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +995% |
| HORIZON | OMNIA | $4,613.80 | ↑ +1066% |
| HORIZON | PIP | $4,674.19 | ↑ +1081% |
| HORIZON | WORKERS COMP | $4,706.80 | ↑ +1090% |
| AETNA | ASA | $4,728.54 | ↑ +1095% |
| CIGNA | BH | $4,831.20 | ↑ +1121% |
| HORIZON | INDEMNITY | $5,074.57 | ↑ +1183% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,133.15 | ↑ +1197% |
| HORIZON | SHP | $5,634.39 | ↑ +1324% |
| HORIZON | HMO | $5,688.74 | ↑ +1338% |
| HORIZON | PPO | $5,833.67 | ↑ +1374% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) MRI (with and without contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $912.03 | $170.42 – $1,452.87 |
| Cooperman Barnabas Medical Center | Livingston | $1,029.62 | $400.67 – $2,072.00 |
| Community Medical Center | Toms River | $1,007.75 | $326.00 – $2,072.00 |
| Clara Maass Medical Center | Belleville | $966.45 | $326.00 – $2,072.00 |
| Newark Beth Israel Medical Center | Newark | $1,012.12 | $175.43 – $2,072.00 |
| Jersey City Medical Center | Jersey City | $1,009.70 | $220.55 – $2,010.00 |
| Monmouth Medical Center | Long Branch | $1,063.14 | $326.00 – $2,072.00 |
| Bayshore Medical Center | Holmdel | $395.29 | $395.29 – $4,332.00 |