Mediastinoscpy w/lmph nod bx at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$6,463.42
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.
$9,299.00
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.
$832.18 with KARNA vs $19,497.00 with UNITED HEALTHCARE — 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 | $832.18 | ↓ -87% |
| AETNA | MANAGED MEDICAID | $1,236.77 | ↓ -81% |
| CLOVER | MEDICARE ADVANTAGE | $1,673.82 | ↓ -74% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,924.89 | ↓ -70% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -63% |
| HORIZON | MANAGED MEDICAID | $2,438.00 | ↓ -62% |
| AMERIHEALTH | LOCAL HMO | $2,669.48 | ↓ -59% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↓ -55% |
| AMERIHEALTH | REGIONAL HMO | $2,982.76 | ↓ -54% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↓ -17% |
| HORIZON | WORKERS COMP | $6,415.00 | ↓ -1% |
| WELLCARE | MEDICARE ADVANTAGE | $6,463.42 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $6,463.42 | ↑ +0% |
| VACCN | ALL PRODUCTS | $6,463.42 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $6,463.42 | ↑ +0% |
| HORIZON | PIP | $6,602.00 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $6,786.59 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $6,915.86 | ↑ +7% |
| BERGEN RISK | ALL PRODUCTS | $6,974.25 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $7,045.13 | ↑ +9% |
| HORIZON | OMNIA | $7,104.44 | ↑ +10% |
| AETNA | ASA | $7,281.12 | ↑ +13% |
| CIGNA | BH | $7,439.20 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $7,756.10 | ↑ +20% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,904.15 | ↑ +22% |
| QUALCARE | PPO | $8,183.12 | ↑ +27% |
| QUALCARE | HMO | $8,183.12 | ↑ +27% |
| HORIZON | SHP | $8,229.00 | ↑ +27% |
| CIGNA | PPO | $8,358.87 | ↑ +29% |
| CIGNA | HMO | $8,358.87 | ↑ +29% |
| AETNA | PPO | $8,419.00 | ↑ +30% |
| AETNA | HMO | $8,419.00 | ↑ +30% |
| HORIZON | HMO | $8,759.66 | ↑ +36% |
| HORIZON | INDEMNITY | $8,880.55 | ↑ +37% |
| HORIZON | PPO | $8,982.83 | ↑ +39% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +54% |
| OXFORD | ALL PRODUCTS | $15,438.00 | ↑ +139% |
| UNITED HEALTHCARE | HMO | $19,497.00 | ↑ +202% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Mediastinoscpy w/lmph nod bx at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $200.24 – $12,752.52 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $371.84 – $13,091.38 |
| Community Medical Center | Toms River | $3,786.00 | $380.80 – $12,688.76 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $367.36 – $13,025.92 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $206.13 – $13,091.38 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $259.13 – $13,673.07 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $734.72 – $12,851.06 |
| Bayshore Medical Center | Holmdel | $6,457.82 | $6,457.82 – $7,749.38 |