Nuclear rx IV admin at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$248.30
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.
$1,313.00
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.
$135.57 with AETNA vs $1,268.36 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 | PPO | $135.57 | ↓ -45% |
| AETNA | HMO | $135.57 | ↓ -45% |
| AETNA | MANAGED MEDICAID | $174.63 | ↓ -30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $196.39 | ↓ -21% |
| CLOVER | MEDICARE ADVANTAGE | $236.34 | ↓ -5% |
| VACCN | ALL PRODUCTS | $248.30 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $248.30 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $248.30 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $248.30 | ↑ +0% |
| HORIZON | MANAGED MEDICAID | $252.11 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $260.71 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $265.68 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $270.64 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $271.79 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $273.96 | ↑ +10% |
| UNITED HEALTHCARE | DSNP | $297.95 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $437.60 | ↑ +76% |
| AMERIHEALTH | REGIONAL HMO | $441.19 | ↑ +78% |
| OXFORD | ALL PRODUCTS | $675.85 | ↑ +172% |
| UNITED HEALTHCARE | HMO | $675.85 | ↑ +172% |
| QUALCARE | WORKERS COMP | $724.78 | ↑ +192% |
| QUALCARE | PPO | $946.67 | ↑ +281% |
| QUALCARE | HMO | $946.67 | ↑ +281% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $984.75 | ↑ +297% |
| BERGEN RISK | ALL PRODUCTS | $984.75 | ↑ +297% |
| HORIZON | OMNIA | $1,003.13 | ↑ +304% |
| HORIZON | PIP | $1,016.26 | ↑ +309% |
| HORIZON | WORKERS COMP | $1,023.35 | ↑ +312% |
| AETNA | ASA | $1,028.08 | ↑ +314% |
| CIGNA | BH | $1,050.40 | ↑ +323% |
| HORIZON | INDEMNITY | $1,103.31 | ↑ +344% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,116.05 | ↑ +349% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,181.70 | ↑ +376% |
| HORIZON | SHP | $1,225.03 | ↑ +393% |
| HORIZON | HMO | $1,236.85 | ↑ +398% |
| CIGNA | HMO | $1,255.62 | ↑ +406% |
| CIGNA | PPO | $1,255.62 | ↑ +406% |
| HORIZON | PPO | $1,268.36 | ↑ +411% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Nuclear rx IV admin at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $213.60 | $74.46 – $493.13 |
| Cooperman Barnabas Medical Center | Livingston | $626.16 | $149.91 – $828.00 |
| Community Medical Center | Toms River | $236.02 | $137.59 – $828.00 |
| Clara Maass Medical Center | Belleville | $241.26 | $149.91 – $828.00 |
| Newark Beth Israel Medical Center | Newark | $615.52 | $76.65 – $828.00 |
| Monmouth Medical Center | Long Branch | $248.99 | $141.62 – $828.00 |
| Bayshore Medical Center | Holmdel | $248.08 | $135.57 – $675.85 |
| Hackensack University Medical Center | Hackensack | $263.95 | $166.58 – $771.95 |