Mitochondrial gene at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$3,324.00
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.
$14,314.00
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.
$972.63 with AETNA vs $15,231.73 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 | $972.63 | ↓ -71% |
| AMERIGROUP | MANAGED MEDICAID | $3,324.00 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,324.00 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,324.00 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,324.00 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,324.00 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $3,324.00 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,490.20 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $3,556.68 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $3,623.16 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $3,988.80 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $4,420.92 | ↑ +33% |
| QUALCARE | WORKERS COMP | $4,863.15 | ↑ +46% |
| AETNA | PPO | $5,031.34 | ↑ +51% |
| AETNA | HMO | $5,031.34 | ↑ +51% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $5,222.00 | ↑ +57% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $5,484.75 | ↑ +65% |
| BERGEN RISK | ALL PRODUCTS | $5,484.75 | ↑ +65% |
| HORIZON | OMNIA | $5,587.13 | ↑ +68% |
| HORIZON | PIP | $5,660.26 | ↑ +70% |
| HORIZON | WORKERS COMP | $5,699.75 | ↑ +71% |
| AETNA | ASA | $5,726.08 | ↑ +72% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $5,850.40 | ↑ +76% |
| CIGNA | BH | $5,850.40 | ↑ +76% |
| HORIZON | INDEMNITY | $6,145.11 | ↑ +85% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,216.05 | ↑ +87% |
| AMERIHEALTH | LOCAL HMO | $6,329.40 | ↑ +90% |
| QUALCARE | HMO | $6,640.20 | ↑ +100% |
| QUALCARE | PPO | $6,640.20 | ↑ +100% |
| OXFORD | ALL PRODUCTS | $6,822.51 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $6,822.51 | ↑ +105% |
| HORIZON | SHP | $6,823.03 | ↑ +105% |
| HORIZON | HMO | $6,888.85 | ↑ +107% |
| HORIZON | PPO | $7,064.36 | ↑ +113% |
| AMERIHEALTH | REGIONAL HMO | $7,114.82 | ↑ +114% |
| CIGNA | PPO | $15,231.73 | ↑ +358% |
| CIGNA | HMO | $15,231.73 | ↑ +358% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Mitochondrial gene at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $3,656.40 | $1,562.28 – $13,553.80 |
| Cooperman Barnabas Medical Center | Livingston | $3,656.40 | $1,562.28 – $13,553.80 |
| Community Medical Center | Toms River | $3,656.40 | $1,562.28 – $13,553.80 |
| Clara Maass Medical Center | Belleville | $3,656.40 | $1,562.28 – $13,553.80 |
| Newark Beth Israel Medical Center | Newark | $3,656.40 | $1,562.28 – $13,553.80 |
| Jersey City Medical Center | Jersey City | $3,656.40 | $1,562.28 – $13,553.80 |
| Monmouth Medical Center | Long Branch | $3,656.40 | $1,562.28 – $13,553.80 |
| Bayshore Medical Center | Holmdel | $3,324.00 | $3,324.00 – $15,231.73 |