Ntsty modul rad tx dlvr smpl at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$640.84
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.
$4,510.00
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.
$404.01 with HORIZON vs $4,387.78 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $404.01 | ↓ -37% |
| AETNA | MANAGED MEDICAID | $599.83 | ↓ -6% |
| WELLCARE | MANAGED MEDICAID | $640.84 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $640.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $640.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $640.84 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $672.88 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $685.70 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $698.52 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $769.01 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $811.80 | ↑ +27% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $933.57 | ↑ +46% |
| KARNA | MEDICARE ADVANTAGE | $951.40 | ↑ +48% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,390.30 | ↑ +273% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,656.39 | ↑ +315% |
| OXFORD | ALL PRODUCTS | $2,746.00 | ↑ +329% |
| UNITED HEALTHCARE | HMO | $2,818.00 | ↑ +340% |
| QUALCARE | WORKERS COMP | $2,999.15 | ↑ +368% |
| AETNA | PPO | $3,151.59 | ↑ +392% |
| AETNA | HMO | $3,151.59 | ↑ +392% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,382.50 | ↑ +428% |
| BERGEN RISK | ALL PRODUCTS | $3,382.50 | ↑ +428% |
| HORIZON | OMNIA | $3,445.64 | ↑ +438% |
| HORIZON | PIP | $3,490.74 | ↑ +445% |
| HORIZON | WORKERS COMP | $3,515.09 | ↑ +449% |
| AETNA | ASA | $3,531.33 | ↑ +451% |
| CIGNA | BH | $3,608.00 | ↑ +463% |
| HORIZON | INDEMNITY | $3,789.75 | ↑ +491% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,833.50 | ↑ +498% |
| AMERIHEALTH | LOCAL HMO | $3,903.41 | ↑ +509% |
| QUALCARE | PPO | $4,095.08 | ↑ +539% |
| QUALCARE | HMO | $4,095.08 | ↑ +539% |
| HORIZON | SHP | $4,207.83 | ↑ +557% |
| HORIZON | HMO | $4,248.42 | ↑ +563% |
| CIGNA | HMO | $4,312.91 | ↑ +573% |
| CIGNA | PPO | $4,312.91 | ↑ +573% |
| HORIZON | PPO | $4,356.66 | ↑ +580% |
| AMERIHEALTH | REGIONAL HMO | $4,387.78 | ↑ +585% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ntsty modul rad tx dlvr smpl at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $983.92 | $466.86 – $1,976.00 |
| Cooperman Barnabas Medical Center | Livingston | $1,110.77 | $649.00 – $2,511.00 |
| Community Medical Center | Toms River | $1,087.19 | $632.20 – $2,395.00 |
| Clara Maass Medical Center | Belleville | $1,058.94 | $649.00 – $2,396.00 |
| Newark Beth Israel Medical Center | Newark | $1,091.90 | $649.00 – $2,396.00 |
| Jersey City Medical Center | Jersey City | $1,089.28 | $681.24 – $2,395.00 |
| Monmouth Medical Center | Long Branch | $1,146.94 | $640.29 – $2,407.00 |
| Bayshore Medical Center | Holmdel | $640.29 | $640.29 – $2,774.00 |