Lower Back (Lumbar Spine) MRI (with 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.
$4,675.00
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 WELLCARE vs $4,516.05 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 | $395.64 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $395.64 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $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 | $536.96 | ↑ +36% |
| CIGNA | HMO | $608.30 | ↑ +54% |
| CIGNA | PPO | $608.30 | ↑ +54% |
| AETNA | MANAGED MEDICAID | $621.78 | ↑ +57% |
| AETNA | HMO | $650.36 | ↑ +64% |
| AETNA | PPO | $650.36 | ↑ +64% |
| HORIZON | MANAGED MEDICAID | $675.00 | ↑ +71% |
| CLOVER | MEDICARE ADVANTAGE | $841.50 | ↑ +113% |
| UNITED HEALTHCARE | HMO | $895.45 | ↑ +126% |
| OXFORD | ALL PRODUCTS | $895.45 | ↑ +126% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $951.00 | ↑ +140% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $967.73 | ↑ +145% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,060.00 | ↑ +168% |
| AMERIHEALTH | LOCAL HMO | $1,094.00 | ↑ +177% |
| AMERIHEALTH | REGIONAL HMO | $1,102.96 | ↑ +179% |
| QUALCARE | WORKERS COMP | $1,947.00 | ↑ +392% |
| QUALCARE | PPO | $2,921.00 | ↑ +638% |
| QUALCARE | HMO | $2,921.00 | ↑ +638% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,225.75 | ↑ +715% |
| HORIZON | OMNIA | $3,571.70 | ↑ +803% |
| HORIZON | PIP | $3,618.45 | ↑ +815% |
| HORIZON | WORKERS COMP | $3,643.70 | ↑ +821% |
| AETNA | ASA | $3,660.53 | ↑ +825% |
| CIGNA | BH | $3,740.00 | ↑ +845% |
| HORIZON | INDEMNITY | $3,928.40 | ↑ +893% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,973.75 | ↑ +904% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +995% |
| HORIZON | SHP | $4,361.78 | ↑ +1002% |
| HORIZON | HMO | $4,403.85 | ↑ +1013% |
| HORIZON | PPO | $4,516.05 | ↑ +1041% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) MRI (with contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $629.92 | $144.63 – $1,037.77 |
| Cooperman Barnabas Medical Center | Livingston | $711.13 | $400.67 – $2,072.00 |
| Community Medical Center | Toms River | $696.03 | $326.00 – $2,072.00 |
| Clara Maass Medical Center | Belleville | $667.50 | $326.00 – $2,072.00 |
| Newark Beth Israel Medical Center | Newark | $699.05 | $148.88 – $2,072.00 |
| Jersey City Medical Center | Jersey City | $697.37 | $187.16 – $2,010.00 |
| Monmouth Medical Center | Long Branch | $734.29 | $326.00 – $2,072.00 |
| Bayshore Medical Center | Holmdel | $395.29 | $395.29 – $4,332.00 |