Open bx/exc inguinofem nodes at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$4,242.15
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.
$9,070.00
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.
$613.85 with HORIZON vs $13,893.00 with UNITED HEALTHCARE — 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 | $613.85 | ↓ -86% |
| KARNA | MEDICARE ADVANTAGE | $960.18 | ↓ -77% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -72% |
| AETNA | MANAGED MEDICAID | $1,206.31 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $1,405.85 | ↓ -67% |
| CLOVER | MEDICARE ADVANTAGE | $1,632.60 | ↓ -62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,877.49 | ↓ -56% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↓ -31% |
| AMERIHEALTH | LOCAL HMO | $3,154.84 | ↓ -26% |
| AMERIHEALTH | REGIONAL HMO | $3,525.08 | ↓ -17% |
| WELLCARE | MEDICARE ADVANTAGE | $4,242.15 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,242.15 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4,242.15 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4,242.15 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,454.26 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $4,539.10 | ↑ +7% |
| UNITED HEALTHCARE | DSNP | $5,090.58 | ↑ +20% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↑ +26% |
| HORIZON | WORKERS COMP | $6,415.00 | ↑ +51% |
| HORIZON | PIP | $6,602.00 | ↑ +56% |
| BERGEN RISK | ALL PRODUCTS | $6,802.50 | ↑ +60% |
| HORIZON | OMNIA | $6,929.48 | ↑ +63% |
| AETNA | ASA | $7,101.81 | ↑ +67% |
| CIGNA | BH | $7,256.00 | ↑ +71% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,709.50 | ↑ +82% |
| QUALCARE | PPO | $7,981.60 | ↑ +88% |
| QUALCARE | HMO | $7,981.60 | ↑ +88% |
| CIGNA | HMO | $8,153.02 | ↑ +92% |
| CIGNA | PPO | $8,153.02 | ↑ +92% |
| HORIZON | SHP | $8,229.00 | ↑ +94% |
| AETNA | PPO | $8,419.00 | ↑ +98% |
| AETNA | HMO | $8,419.00 | ↑ +98% |
| HORIZON | HMO | $8,543.94 | ↑ +101% |
| HORIZON | INDEMNITY | $8,661.85 | ↑ +104% |
| HORIZON | PPO | $8,761.62 | ↑ +107% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +134% |
| OXFORD | ALL PRODUCTS | $11,028.00 | ↑ +160% |
| UNITED HEALTHCARE | HMO | $13,893.00 | ↑ +227% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Open bx/exc inguinofem nodes at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $229.43 – $8,369.88 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $407.60 – $8,592.30 |
| Community Medical Center | Toms River | $3,786.00 | $417.42 – $8,328.03 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $402.69 – $8,549.34 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $236.18 – $8,592.30 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $296.91 – $8,974.08 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $805.37 – $8,434.58 |
| Bayshore Medical Center | Holmdel | $4,238.48 | $4,238.48 – $5,086.17 |