Nasal endoscopy dx uni/bi separate proc at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$215.07
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.
$430.00
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.
$0.01 with CIGNA vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| CIGNA | PPO | $0.01 | ↓ -100% |
| CIGNA | HMO | $0.01 | ↓ -100% |
| AETNA | MANAGED MEDICAID | $57.19 | ↓ -73% |
| CLOVER | MEDICARE ADVANTAGE | $77.40 | ↓ -64% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $89.01 | ↓ -59% |
| KARNA | MEDICARE ADVANTAGE | $136.75 | ↓ -36% |
| WELLCARE | MEDICARE ADVANTAGE | $215.07 | ↑ +0% |
| VACCN | ALL PRODUCTS | $215.07 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $215.07 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $215.07 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $225.83 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $230.13 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $234.43 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $258.09 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $322.50 | ↑ +50% |
| HORIZON | OMNIA | $328.52 | ↑ +53% |
| AETNA | ASA | $336.69 | ↑ +57% |
| CIGNA | BH | $344.00 | ↑ +60% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $365.50 | ↑ +70% |
| QUALCARE | PPO | $378.40 | ↑ +76% |
| QUALCARE | HMO | $378.40 | ↑ +76% |
| HORIZON | SHP | $401.19 | ↑ +87% |
| HORIZON | HMO | $405.06 | ↑ +88% |
| HORIZON | INDEMNITY | $410.65 | ↑ +91% |
| HORIZON | PPO | $415.38 | ↑ +93% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +453% |
| HORIZON | MANAGED MEDICAID | $2,241.00 | ↑ +942% |
| AMERIHEALTH | LOCAL HMO | $2,669.48 | ↑ +1141% |
| OXFORD | ALL PRODUCTS | $2,761.00 | ↑ +1184% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↑ +1255% |
| AMERIHEALTH | REGIONAL HMO | $2,982.76 | ↑ +1287% |
| UNITED HEALTHCARE | HMO | $3,392.00 | ↑ +1477% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↑ +2395% |
| HORIZON | WORKERS COMP | $6,415.00 | ↑ +2883% |
| HORIZON | PIP | $6,602.00 | ↑ +2970% |
| AETNA | PPO | $8,419.00 | ↑ +3815% |
| AETNA | HMO | $8,419.00 | ↑ +3815% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +4518% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Nasal endoscopy dx uni/bi separate proc at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $51.51 – $422.22 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $49.69 – $433.44 |
| Bayshore Medical Center | Holmdel | $214.89 | $214.89 – $257.86 |
| Hackensack University Medical Center | Hackensack | $228.63 | $136.75 – $240.06 |
| Ocean University Medical Center | Brick | $212.17 | $132.72 – $254.61 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $215.07 | $60.60 – $215.07 |
| Jersey Shore University Medical Center | Neptune City | $214.89 | $132.72 – $257.86 |
| Palisades Medical Center | North Bergen | $228.63 | $136.75 – $249.21 |