Nm imaging bone/joint 3 phase study at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$445.16
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.
$2,977.00
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.
$279.68 with HORIZON vs $2,875.78 with HORIZON — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $279.68 | ↓ -37% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $357.98 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $395.94 | ↓ -11% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $445.16 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $445.16 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $445.16 | ↑ +0% |
| VACCN | ALL PRODUCTS | $445.16 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $467.41 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $476.32 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $485.22 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $534.19 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $535.86 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $537.05 | ↑ +21% |
| AMERIHEALTH | REGIONAL HMO | $541.46 | ↑ +22% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $616.24 | ↑ +38% |
| KARNA | MEDICARE ADVANTAGE | $617.30 | ↑ +39% |
| AETNA | HMO | $866.61 | ↑ +95% |
| AETNA | PPO | $866.61 | ↑ +95% |
| UNITED HEALTHCARE | HMO | $1,021.05 | ↑ +129% |
| OXFORD | ALL PRODUCTS | $1,021.05 | ↑ +129% |
| CIGNA | PPO | $1,081.99 | ↑ +143% |
| CIGNA | HMO | $1,081.99 | ↑ +143% |
| QUALCARE | WORKERS COMP | $1,643.30 | ↑ +269% |
| QUALCARE | HMO | $2,146.42 | ↑ +382% |
| QUALCARE | PPO | $2,146.42 | ↑ +382% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,232.75 | ↑ +402% |
| BERGEN RISK | ALL PRODUCTS | $2,232.75 | ↑ +402% |
| HORIZON | OMNIA | $2,274.43 | ↑ +411% |
| HORIZON | PIP | $2,304.20 | ↑ +418% |
| HORIZON | WORKERS COMP | $2,320.27 | ↑ +421% |
| AETNA | ASA | $2,330.99 | ↑ +424% |
| CIGNA | BH | $2,381.60 | ↑ +435% |
| HORIZON | INDEMNITY | $2,501.57 | ↑ +462% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,530.45 | ↑ +468% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,679.30 | ↑ +502% |
| HORIZON | SHP | $2,777.54 | ↑ +524% |
| HORIZON | HMO | $2,804.33 | ↑ +530% |
| HORIZON | PPO | $2,875.78 | ↑ +546% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Nm imaging bone/joint 3 phase study at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $528.93 | $150.44 – $1,403.91 |
| Cooperman Barnabas Medical Center | Livingston | $577.42 | $203.85 – $1,403.91 |
| Community Medical Center | Toms River | $584.45 | $203.85 – $1,403.91 |
| Clara Maass Medical Center | Belleville | $668.70 | $203.85 – $1,403.91 |
| Newark Beth Israel Medical Center | Newark | $567.61 | $170.46 – $1,403.91 |
| Jersey City Medical Center | Jersey City | $585.58 | $203.85 – $1,403.91 |
| Monmouth Medical Center | Long Branch | $616.57 | $203.85 – $1,403.91 |
| Bayshore Medical Center | Holmdel | $444.77 | $357.98 – $1,081.99 |