Nasal function studies at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$344.98
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.
$803.00
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.
$45.85 with KARNA vs $781.24 with AMERIHEALTH — 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 | $45.85 | ↓ -87% |
| HORIZON | MANAGED MEDICAID | $48.45 | ↓ -86% |
| AETNA | MANAGED MEDICAID | $106.80 | ↓ -69% |
| CLOVER | MEDICARE ADVANTAGE | $144.54 | ↓ -58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $166.22 | ↓ -52% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $344.98 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $344.98 | ↑ +0% |
| VACCN | ALL PRODUCTS | $344.98 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $344.98 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $362.22 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $369.12 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $376.02 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $413.97 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $472.97 | ↑ +37% |
| OXFORD | ALL PRODUCTS | $486.38 | ↑ +41% |
| QUALCARE | WORKERS COMP | $534.00 | ↑ +55% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $602.25 | ↑ +75% |
| BERGEN RISK | ALL PRODUCTS | $602.25 | ↑ +75% |
| HORIZON | OMNIA | $613.49 | ↑ +78% |
| HORIZON | PIP | $621.52 | ↑ +80% |
| HORIZON | WORKERS COMP | $625.86 | ↑ +81% |
| AETNA | ASA | $628.75 | ↑ +82% |
| CIGNA | BH | $642.40 | ↑ +86% |
| UNITED HEALTHCARE | HMO | $653.88 | ↑ +90% |
| HORIZON | INDEMNITY | $674.76 | ↑ +96% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $682.55 | ↑ +98% |
| AMERIHEALTH | LOCAL HMO | $695.00 | ↑ +101% |
| AETNA | PPO | $722.70 | ↑ +109% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $722.70 | ↑ +109% |
| AETNA | HMO | $722.70 | ↑ +109% |
| QUALCARE | HMO | $729.12 | ↑ +111% |
| QUALCARE | PPO | $729.12 | ↑ +111% |
| HORIZON | SHP | $749.20 | ↑ +117% |
| HORIZON | HMO | $756.43 | ↑ +119% |
| CIGNA | PPO | $767.91 | ↑ +123% |
| CIGNA | HMO | $767.91 | ↑ +123% |
| HORIZON | PPO | $775.70 | ↑ +125% |
| AMERIHEALTH | REGIONAL HMO | $781.24 | ↑ +126% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Nasal function studies at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $344.68 | $344.68 – $413.61 |
| Hackensack University Medical Center | Hackensack | $366.72 | $45.85 – $4,994.00 |
| Ocean University Medical Center | Brick | $340.32 | $44.54 – $2,080.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $344.98 | $45.85 – $2,437.00 |
| Jersey Shore University Medical Center | Neptune City | $344.68 | $44.54 – $413.61 |
| Palisades Medical Center | North Bergen | $366.72 | $38.18 – $576.00 |
| Riverview Medical Center | Red Bank | $344.68 | $44.54 – $413.61 |
| Southern Ocean Medical Center | Manahawkin | $340.32 | $44.54 – $408.39 |