Lung function test (mbc/mvv) at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$65.80
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.
$289.00
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.
$26.92 with KARNA vs $464.00 with OXFORD — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $26.92 | ↓ -59% |
| AETNA | MANAGED MEDICAID | $38.44 | ↓ -42% |
| CLOVER | MEDICARE ADVANTAGE | $52.02 | ↓ -21% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $59.82 | ↓ -9% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $65.80 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $65.80 | ↑ +0% |
| VACCN | ALL PRODUCTS | $65.80 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $65.80 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $69.09 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $70.41 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $71.73 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $78.97 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $160.00 | ↑ +143% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $170.22 | ↑ +159% |
| QUALCARE | WORKERS COMP | $192.19 | ↑ +192% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $216.75 | ↑ +229% |
| BERGEN RISK | ALL PRODUCTS | $216.75 | ↑ +229% |
| HORIZON | OMNIA | $220.80 | ↑ +236% |
| HORIZON | PIP | $223.69 | ↑ +240% |
| HORIZON | WORKERS COMP | $225.25 | ↑ +242% |
| AETNA | ASA | $226.29 | ↑ +244% |
| CIGNA | BH | $231.20 | ↑ +251% |
| HORIZON | INDEMNITY | $242.85 | ↑ +269% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $245.65 | ↑ +273% |
| AMERIHEALTH | LOCAL HMO | $250.13 | ↑ +280% |
| AETNA | HMO | $260.10 | ↑ +295% |
| AETNA | PPO | $260.10 | ↑ +295% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $260.10 | ↑ +295% |
| QUALCARE | HMO | $262.41 | ↑ +299% |
| QUALCARE | PPO | $262.41 | ↑ +299% |
| HORIZON | SHP | $269.64 | ↑ +310% |
| HORIZON | HMO | $272.24 | ↑ +314% |
| CIGNA | HMO | $276.37 | ↑ +320% |
| CIGNA | PPO | $276.37 | ↑ +320% |
| HORIZON | PPO | $279.17 | ↑ +324% |
| AMERIHEALTH | REGIONAL HMO | $281.17 | ↑ +327% |
| UNITED HEALTHCARE | HMO | $453.00 | ↑ +588% |
| OXFORD | ALL PRODUCTS | $464.00 | ↑ +605% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lung function test (mbc/mvv) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $55.72 | $66.64 – $133.28 |
| Community Medical Center | Toms River | $54.54 | $64.92 – $129.19 |
| Clara Maass Medical Center | Belleville | $51.91 | $66.64 – $132.61 |
| Newark Beth Israel Medical Center | Newark | $54.78 | $8.06 – $133.28 |
| Jersey City Medical Center | Jersey City | $54.65 | $10.14 – $139.20 |
| Monmouth Medical Center | Long Branch | $57.54 | $65.75 – $130.84 |
| Bayshore Medical Center | Holmdel | $65.75 | $65.75 – $910.00 |
| Hackensack University Medical Center | Hackensack | $69.95 | $26.92 – $5,456.00 |