Mayo nickel at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$24.51
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.
$67.00
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.
$8.91 with AETNA vs $112.31 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 | $8.91 | ↓ -64% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $24.51 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $24.51 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $24.51 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $24.51 | ↑ +0% |
| VACCN | ALL PRODUCTS | $24.51 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $24.51 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $25.74 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $26.23 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $26.72 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $29.41 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $32.60 | ↑ +33% |
| QUALCARE | WORKERS COMP | $44.56 | ↑ +82% |
| AETNA | PPO | $46.10 | ↑ +88% |
| AETNA | HMO | $46.10 | ↑ +88% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $50.25 | ↑ +105% |
| BERGEN RISK | ALL PRODUCTS | $50.25 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $50.31 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $50.31 | ↑ +105% |
| HORIZON | OMNIA | $51.19 | ↑ +109% |
| HORIZON | PIP | $51.86 | ↑ +112% |
| HORIZON | WORKERS COMP | $52.22 | ↑ +113% |
| AETNA | ASA | $52.46 | ↑ +114% |
| CIGNA | BH | $53.60 | ↑ +119% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $53.60 | ↑ +119% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $53.78 | ↑ +119% |
| HORIZON | INDEMNITY | $56.30 | ↑ +130% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $56.95 | ↑ +132% |
| AMERIHEALTH | LOCAL HMO | $57.99 | ↑ +137% |
| QUALCARE | PPO | $60.84 | ↑ +148% |
| QUALCARE | HMO | $60.84 | ↑ +148% |
| HORIZON | SHP | $62.51 | ↑ +155% |
| HORIZON | HMO | $63.11 | ↑ +157% |
| HORIZON | PPO | $64.72 | ↑ +164% |
| AMERIHEALTH | REGIONAL HMO | $65.18 | ↑ +166% |
| CIGNA | HMO | $112.31 | ↑ +358% |
| CIGNA | PPO | $112.31 | ↑ +358% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Mayo nickel at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $26.96 | $11.52 – $100.14 |
| Cooperman Barnabas Medical Center | Livingston | $26.96 | $11.52 – $100.14 |
| Community Medical Center | Toms River | $26.96 | $11.52 – $100.14 |
| Clara Maass Medical Center | Belleville | $26.96 | $11.52 – $100.14 |
| Newark Beth Israel Medical Center | Newark | $26.96 | $11.52 – $100.14 |
| Jersey City Medical Center | Jersey City | $26.96 | $11.52 – $100.14 |
| Monmouth Medical Center | Long Branch | $26.96 | $11.52 – $100.14 |
| Bayshore Medical Center | Holmdel | $24.51 | $24.51 – $112.31 |