Mnt subs tx for change dx at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$34.61
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.
?
What you pay up front if you don't use insurance.
$120.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$15.96 with AETNA vs $313.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $15.96 | ↓ -54% |
| HORIZON | MANAGED MEDICAID | $19.50 | ↓ -44% |
| CLOVER | MEDICARE ADVANTAGE | $21.60 | ↓ -38% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $24.84 | ↓ -28% |
| WELLCARE | MEDICARE ADVANTAGE | $34.61 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $34.61 | ↑ +0% |
| VACCN | ALL PRODUCTS | $34.61 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $34.61 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $36.34 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $37.03 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $37.72 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $41.53 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $48.96 | ↑ +41% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $70.68 | ↑ +104% |
| QUALCARE | WORKERS COMP | $79.80 | ↑ +131% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $90.00 | ↑ +160% |
| BERGEN RISK | ALL PRODUCTS | $90.00 | ↑ +160% |
| HORIZON | OMNIA | $91.68 | ↑ +165% |
| HORIZON | PIP | $92.88 | ↑ +168% |
| HORIZON | WORKERS COMP | $93.53 | ↑ +170% |
| AETNA | ASA | $93.96 | ↑ +171% |
| CIGNA | BH | $96.00 | ↑ +177% |
| HORIZON | INDEMNITY | $100.84 | ↑ +191% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $102.00 | ↑ +195% |
| AETNA | HMO | $108.00 | ↑ +212% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $108.00 | ↑ +212% |
| AETNA | PPO | $108.00 | ↑ +212% |
| QUALCARE | HMO | $108.96 | ↑ +215% |
| QUALCARE | PPO | $108.96 | ↑ +215% |
| HORIZON | SHP | $111.96 | ↑ +223% |
| HORIZON | HMO | $113.04 | ↑ +227% |
| CIGNA | HMO | $114.76 | ↑ +232% |
| CIGNA | PPO | $114.76 | ↑ +232% |
| HORIZON | PPO | $115.92 | ↑ +235% |
| AMERIHEALTH | LOCAL HMO | $209.00 | ↑ +504% |
| AMERIHEALTH | REGIONAL HMO | $235.00 | ↑ +579% |
| OXFORD | ALL PRODUCTS | $308.00 | ↑ +790% |
| UNITED HEALTHCARE | HMO | $313.00 | ↑ +804% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Mnt subs tx for change dx at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $31.99 | $12.95 – $197.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $34.61 | $15.60 – $792.00 |
| Jersey Shore University Medical Center | Neptune City | $34.61 | $27.69 – $443.00 |
| Palisades Medical Center | North Bergen | $34.61 | $15.37 – $981.00 |
| Riverview Medical Center | Red Bank | $34.61 | $34.61 – $465.00 |
| Southern Ocean Medical Center | Manahawkin | $34.61 | $34.61 – $465.00 |
| Trinitas Regional Medical Center | Elizabeth | not published | $20.36 – $197.00 |
| Community Medical Center | Toms River | not published | $13.26 – $197.00 |