M/phmtrc alys ishquant/semiq at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$189.84
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.
$798.00
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.
$106.13 with AETNA vs $776.37 with AMERIHEALTH — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $106.13 | ↓ -44% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $165.19 | ↓ -13% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $189.84 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $189.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $189.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $189.84 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $199.33 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $203.12 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $206.92 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $227.80 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $275.47 | ↑ +45% |
| OXFORD | ALL PRODUCTS | $306.15 | ↑ +61% |
| UNITED HEALTHCARE | HMO | $306.15 | ↑ +61% |
| QUALCARE | WORKERS COMP | $530.67 | ↑ +180% |
| AETNA | PPO | $549.02 | ↑ +189% |
| AETNA | HMO | $549.02 | ↑ +189% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $598.50 | ↑ +215% |
| BERGEN RISK | ALL PRODUCTS | $598.50 | ↑ +215% |
| HORIZON | OMNIA | $609.67 | ↑ +221% |
| HORIZON | PIP | $617.65 | ↑ +225% |
| HORIZON | WORKERS COMP | $621.96 | ↑ +228% |
| AETNA | ASA | $624.83 | ↑ +229% |
| CIGNA | BH | $638.40 | ↑ +236% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $638.40 | ↑ +236% |
| HORIZON | INDEMNITY | $670.56 | ↑ +253% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $678.30 | ↑ +257% |
| AMERIHEALTH | LOCAL HMO | $690.67 | ↑ +264% |
| QUALCARE | HMO | $724.58 | ↑ +282% |
| QUALCARE | PPO | $724.58 | ↑ +282% |
| HORIZON | SHP | $744.53 | ↑ +292% |
| HORIZON | HMO | $751.72 | ↑ +296% |
| CIGNA | PPO | $763.13 | ↑ +302% |
| CIGNA | HMO | $763.13 | ↑ +302% |
| KARNA | MEDICARE ADVANTAGE | $770.65 | ↑ +306% |
| HORIZON | PPO | $770.87 | ↑ +306% |
| AMERIHEALTH | REGIONAL HMO | $776.37 | ↑ +309% |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $234.43 | $73.91 – $1,336.07 |
| Cooperman Barnabas Medical Center | Livingston | $153.20 | $73.91 – $1,336.07 |
| Community Medical Center | Toms River | $259.04 | $73.91 – $1,336.07 |
| Clara Maass Medical Center | Belleville | $162.50 | $73.91 – $1,336.07 |
| Newark Beth Israel Medical Center | Newark | $150.60 | $73.91 – $1,336.07 |
| Jersey City Medical Center | Jersey City | $259.54 | $73.91 – $1,336.07 |
| Monmouth Medical Center | Long Branch | $273.28 | $73.91 – $1,336.07 |
| Bayshore Medical Center | Holmdel | $189.67 | $189.67 – $306.15 |