Lower Back (Lumbar Spine) X-ray at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$117.81
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.
$743.00
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.
$49.50 with HORIZON vs $717.74 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 | MANAGED MEDICAID | $49.50 | ↓ -58% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $50.46 | ↓ -57% |
| AETNA | HMO | $66.72 | ↓ -43% |
| AETNA | PPO | $66.72 | ↓ -43% |
| AMERIHEALTH | LOCAL HMO | $73.60 | ↓ -38% |
| AMERIHEALTH | REGIONAL HMO | $74.20 | ↓ -37% |
| KARNA | MEDICARE ADVANTAGE | $77.37 | ↓ -34% |
| AETNA | MANAGED MEDICAID | $98.82 | ↓ -16% |
| CIGNA | PPO | $103.53 | ↓ -12% |
| CIGNA | HMO | $103.53 | ↓ -12% |
| VACCN | ALL PRODUCTS | $117.81 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.81 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.70 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $126.05 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $128.41 | ↑ +9% |
| CLOVER | MEDICARE ADVANTAGE | $133.74 | ↑ +14% |
| UNITED HEALTHCARE | DSNP | $141.37 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $153.80 | ↑ +31% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +150% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +150% |
| QUALCARE | WORKERS COMP | $410.14 | ↑ +248% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $445.80 | ↑ +278% |
| QUALCARE | PPO | $535.70 | ↑ +355% |
| QUALCARE | HMO | $535.70 | ↑ +355% |
| BERGEN RISK | ALL PRODUCTS | $557.25 | ↑ +373% |
| HORIZON | OMNIA | $567.65 | ↑ +382% |
| HORIZON | PIP | $575.08 | ↑ +388% |
| HORIZON | WORKERS COMP | $579.09 | ↑ +392% |
| AETNA | ASA | $581.77 | ↑ +394% |
| CIGNA | BH | $594.40 | ↑ +405% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $594.40 | ↑ +405% |
| HORIZON | INDEMNITY | $624.34 | ↑ +430% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $631.55 | ↑ +436% |
| HORIZON | SHP | $693.22 | ↑ +488% |
| HORIZON | HMO | $699.91 | ↑ +494% |
| HORIZON | PPO | $717.74 | ↑ +509% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) X-ray at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $100.04 | $20.82 – $232.44 |
| Cooperman Barnabas Medical Center | Livingston | $112.94 | $36.08 – $238.62 |
| Community Medical Center | Toms River | $110.54 | $36.08 – $231.28 |
| Clara Maass Medical Center | Belleville | $106.01 | $36.08 – $237.43 |
| Childrens Specialized Hospital | Mountainside | $145.50 | $22.00 – $655.00 |
| Newark Beth Israel Medical Center | Newark | $111.02 | $21.43 – $238.62 |
| Jersey City Medical Center | Jersey City | $110.75 | $26.94 – $249.21 |
| Monmouth Medical Center | Long Branch | $116.62 | $36.08 – $234.22 |