Mrgfus strtctc ablt trgt icr at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$13,814.86
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.
$44,792.00
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.
$3,882.88 with AMERIHEALTH vs $40,671.14 with QUALCARE — 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 |
|---|---|---|---|
| AMERIHEALTH | LOCAL HMO | $3,882.88 | ↓ -72% |
| AMERIHEALTH | REGIONAL HMO | $4,338.56 | ↓ -69% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↓ -61% |
| AETNA | MANAGED MEDICAID | $5,957.34 | ↓ -57% |
| HORIZON | WORKERS COMP | $6,415.00 | ↓ -54% |
| HORIZON | OMNIA | $6,440.00 | ↓ -53% |
| HORIZON | PIP | $6,602.00 | ↓ -52% |
| HORIZON | SHP | $7,445.00 | ↓ -46% |
| HORIZON | HMO | $7,956.00 | ↓ -42% |
| HORIZON | INDEMNITY | $8,061.00 | ↓ -42% |
| CLOVER | MEDICARE ADVANTAGE | $8,062.56 | ↓ -42% |
| HORIZON | PPO | $8,159.00 | ↓ -41% |
| AETNA | PPO | $8,419.00 | ↓ -39% |
| AETNA | HMO | $8,419.00 | ↓ -39% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $9,271.94 | ↓ -33% |
| WELLCARE | MEDICARE ADVANTAGE | $13,814.86 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $13,814.86 | ↑ +0% |
| VACCN | ALL PRODUCTS | $13,814.86 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $13,814.86 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $14,505.60 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $14,781.90 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $15,058.20 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $16,577.83 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $26,382.49 | ↑ +91% |
| OXFORD | ALL PRODUCTS | $27,609.79 | ↑ +100% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $33,594.00 | ↑ +143% |
| BERGEN RISK | ALL PRODUCTS | $33,594.00 | ↑ +143% |
| AETNA | ASA | $35,072.14 | ↑ +154% |
| CIGNA | BH | $35,833.60 | ↑ +159% |
| UNITED HEALTHCARE | HMO | $36,474.13 | ↑ +164% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $38,073.20 | ↑ +176% |
| CIGNA | PPO | $40,263.53 | ↑ +191% |
| CIGNA | HMO | $40,263.53 | ↑ +191% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $40,312.80 | ↑ +192% |
| QUALCARE | PPO | $40,671.14 | ↑ +194% |
| QUALCARE | HMO | $40,671.14 | ↑ +194% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
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Mrgfus strtctc ablt trgt icr at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $13,802.89 | $13,802.89 – $16,563.46 |
| Hackensack University Medical Center | Hackensack | $14,685.79 | $747.20 – $15,420.07 |
| Ocean University Medical Center | Brick | $13,628.55 | $12,470.31 – $16,354.26 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $13,814.86 | $12,470.31 – $13,814.86 |
| Jersey Shore University Medical Center | Neptune City | $13,802.89 | $13,802.89 – $16,563.46 |
| Palisades Medical Center | North Bergen | $14,685.79 | $824.25 – $16,007.51 |
| Riverview Medical Center | Red Bank | $13,802.89 | $13,802.89 – $16,563.46 |
| Southern Ocean Medical Center | Manahawkin | $13,628.55 | $13,628.55 – $16,354.26 |