Mayo analysis gene smn1 dosage/deletion at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$137.00
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.
$1,040.00
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.
$58.52 with AETNA vs $627.78 with CIGNA — 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 | $58.52 | ↓ -57% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $137.00 | ↑ +0% |
| VACCN | ALL PRODUCTS | $137.00 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $137.00 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $137.00 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $137.00 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $137.00 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $143.85 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $146.59 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $149.33 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $164.40 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $182.21 | ↑ +33% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $215.23 | ↑ +57% |
| OXFORD | ALL PRODUCTS | $281.19 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $281.19 | ↑ +105% |
| QUALCARE | WORKERS COMP | $292.60 | ↑ +114% |
| AETNA | PPO | $302.72 | ↑ +121% |
| AETNA | HMO | $302.72 | ↑ +121% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $330.00 | ↑ +141% |
| BERGEN RISK | ALL PRODUCTS | $330.00 | ↑ +141% |
| HORIZON | OMNIA | $336.16 | ↑ +145% |
| HORIZON | PIP | $340.56 | ↑ +149% |
| HORIZON | WORKERS COMP | $342.94 | ↑ +150% |
| AETNA | ASA | $344.52 | ↑ +151% |
| CIGNA | BH | $352.00 | ↑ +157% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $352.00 | ↑ +157% |
| HORIZON | INDEMNITY | $369.73 | ↑ +170% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $374.00 | ↑ +173% |
| AMERIHEALTH | LOCAL HMO | $380.82 | ↑ +178% |
| QUALCARE | PPO | $399.52 | ↑ +192% |
| QUALCARE | HMO | $399.52 | ↑ +192% |
| HORIZON | SHP | $410.52 | ↑ +200% |
| HORIZON | HMO | $414.48 | ↑ +203% |
| HORIZON | PPO | $425.04 | ↑ +210% |
| AMERIHEALTH | REGIONAL HMO | $428.08 | ↑ +212% |
| CIGNA | HMO | $627.78 | ↑ +358% |
| CIGNA | PPO | $627.78 | ↑ +358% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Mayo analysis gene smn1 dosage/deletion at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $150.70 | $64.39 – $558.13 |
| Cooperman Barnabas Medical Center | Livingston | $150.70 | $64.39 – $558.13 |
| Community Medical Center | Toms River | $150.70 | $64.39 – $558.13 |
| Clara Maass Medical Center | Belleville | $150.70 | $64.39 – $558.13 |
| Newark Beth Israel Medical Center | Newark | $150.70 | $64.39 – $558.13 |
| Jersey City Medical Center | Jersey City | $150.70 | $64.39 – $558.13 |
| Monmouth Medical Center | Long Branch | $150.70 | $64.39 – $558.13 |
| Bayshore Medical Center | Holmdel | $137.00 | $137.00 – $627.78 |