Lower Back (Lumbar Spine) MRI (without contrast) at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$267.78
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.
$4,439.00
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.
$267.78 with WELLCARE vs $4,332.00 with BERGEN RISK — 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 | $267.78 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $267.78 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $267.78 | ↑ +0% |
| VACCN | ALL PRODUCTS | $267.78 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $281.17 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $286.53 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $291.88 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $321.34 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $378.00 | ↑ +41% |
| CIGNA | PPO | $393.77 | ↑ +47% |
| CIGNA | HMO | $393.77 | ↑ +47% |
| AETNA | PPO | $417.98 | ↑ +56% |
| AETNA | HMO | $417.98 | ↑ +56% |
| UNITED HEALTHCARE | HMO | $559.79 | ↑ +109% |
| OXFORD | ALL PRODUCTS | $559.79 | ↑ +109% |
| AETNA | MANAGED MEDICAID | $590.39 | ↑ +120% |
| HORIZON | MANAGED MEDICAID | $742.50 | ↑ +177% |
| CLOVER | MEDICARE ADVANTAGE | $799.02 | ↑ +198% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $918.87 | ↑ +243% |
| AMERIHEALTH | LOCAL HMO | $944.81 | ↑ +253% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $951.00 | ↑ +255% |
| AMERIHEALTH | REGIONAL HMO | $952.56 | ↑ +256% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,060.00 | ↑ +296% |
| QUALCARE | WORKERS COMP | $1,947.00 | ↑ +627% |
| QUALCARE | PPO | $2,921.00 | ↑ +991% |
| QUALCARE | HMO | $2,921.00 | ↑ +991% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,062.91 | ↑ +1044% |
| HORIZON | OMNIA | $3,391.40 | ↑ +1166% |
| HORIZON | PIP | $3,435.79 | ↑ +1183% |
| HORIZON | WORKERS COMP | $3,459.76 | ↑ +1192% |
| AETNA | ASA | $3,475.74 | ↑ +1198% |
| CIGNA | BH | $3,551.20 | ↑ +1226% |
| HORIZON | INDEMNITY | $3,730.09 | ↑ +1293% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,773.15 | ↑ +1309% |
| HORIZON | SHP | $4,141.59 | ↑ +1447% |
| HORIZON | HMO | $4,181.54 | ↑ +1462% |
| HORIZON | PPO | $4,288.07 | ↑ +1501% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +1518% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) MRI (without contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $535.69 | $101.97 – $896.25 |
| Cooperman Barnabas Medical Center | Livingston | $604.76 | $271.19 – $2,072.00 |
| Community Medical Center | Toms River | $591.91 | $264.17 – $2,072.00 |
| Clara Maass Medical Center | Belleville | $567.66 | $271.19 – $2,072.00 |
| Newark Beth Israel Medical Center | Newark | $594.48 | $104.97 – $2,072.00 |
| Jersey City Medical Center | Jersey City | $593.06 | $131.96 – $2,010.00 |
| Monmouth Medical Center | Long Branch | $624.45 | $267.55 – $2,072.00 |
| Bayshore Medical Center | Holmdel | $267.55 | $267.55 – $4,332.00 |