Nm imaging pulmonary ventilation/perfusion at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$596.31
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.
$2,310.00
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.
$307.23 with AETNA vs $2,231.46 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $307.23 | ↓ -48% |
| AMERIHEALTH | LOCAL HMO | $383.89 | ↓ -36% |
| AMERIHEALTH | REGIONAL HMO | $387.04 | ↓ -35% |
| CLOVER | MEDICARE ADVANTAGE | $415.80 | ↓ -30% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $478.17 | ↓ -20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $506.49 | ↓ -15% |
| KARNA | MEDICARE ADVANTAGE | $590.79 | ↓ -1% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $596.31 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $596.31 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $596.31 | ↑ +0% |
| VACCN | ALL PRODUCTS | $596.31 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $626.12 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $638.05 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $649.97 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $715.57 | ↑ +20% |
| AETNA | HMO | $825.69 | ↑ +38% |
| AETNA | PPO | $825.69 | ↑ +38% |
| CIGNA | PPO | $1,026.44 | ↑ +72% |
| CIGNA | HMO | $1,026.44 | ↑ +72% |
| QUALCARE | WORKERS COMP | $1,275.12 | ↑ +114% |
| OXFORD | ALL PRODUCTS | $1,325.05 | ↑ +122% |
| UNITED HEALTHCARE | HMO | $1,325.05 | ↑ +122% |
| QUALCARE | PPO | $1,665.51 | ↑ +179% |
| QUALCARE | HMO | $1,665.51 | ↑ +179% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,732.50 | ↑ +191% |
| BERGEN RISK | ALL PRODUCTS | $1,732.50 | ↑ +191% |
| HORIZON | OMNIA | $1,764.84 | ↑ +196% |
| HORIZON | PIP | $1,787.94 | ↑ +200% |
| HORIZON | WORKERS COMP | $1,800.41 | ↑ +202% |
| AETNA | ASA | $1,808.73 | ↑ +203% |
| CIGNA | BH | $1,848.00 | ↑ +210% |
| HORIZON | INDEMNITY | $1,941.09 | ↑ +226% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,963.50 | ↑ +229% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,079.00 | ↑ +249% |
| HORIZON | SHP | $2,155.23 | ↑ +261% |
| HORIZON | HMO | $2,176.02 | ↑ +265% |
| HORIZON | PPO | $2,231.46 | ↑ +274% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Nm imaging pulmonary ventilation/perfusion at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $474.13 | $158.53 – $1,324.21 |
| Cooperman Barnabas Medical Center | Livingston | $472.53 | $235.19 – $1,324.21 |
| Community Medical Center | Toms River | $523.89 | $235.19 – $1,324.21 |
| Clara Maass Medical Center | Belleville | $526.68 | $235.19 – $1,324.21 |
| Newark Beth Israel Medical Center | Newark | $464.50 | $163.19 – $1,324.21 |
| Jersey City Medical Center | Jersey City | $524.90 | $205.15 – $1,324.21 |
| Monmouth Medical Center | Long Branch | $552.68 | $235.19 – $1,324.21 |
| Bayshore Medical Center | Holmdel | $595.79 | $383.89 – $1,325.05 |