Ophthalmic biometry at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$142.80
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.
$301.00
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.
$40.03 with AETNA vs $8,419.00 with AETNA — 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 | $40.03 | ↓ -72% |
| CLOVER | MEDICARE ADVANTAGE | $54.18 | ↓ -62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $62.31 | ↓ -56% |
| KARNA | MEDICARE ADVANTAGE | $82.50 | ↓ -42% |
| HORIZON | MANAGED MEDICAID | $100.00 | ↓ -30% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $142.80 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $142.80 | ↑ +0% |
| VACCN | ALL PRODUCTS | $142.80 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $142.80 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $149.94 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $152.79 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $155.65 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $171.36 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $177.29 | ↑ +24% |
| OXFORD | ALL PRODUCTS | $185.54 | ↑ +30% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $225.75 | ↑ +58% |
| BERGEN RISK | ALL PRODUCTS | $225.75 | ↑ +58% |
| AETNA | ASA | $235.68 | ↑ +65% |
| CIGNA | BH | $240.80 | ↑ +69% |
| UNITED HEALTHCARE | HMO | $245.10 | ↑ +72% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $255.85 | ↑ +79% |
| AMERIHEALTH | LOCAL HMO | $260.52 | ↑ +82% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $270.90 | ↑ +90% |
| QUALCARE | HMO | $273.31 | ↑ +91% |
| QUALCARE | PPO | $273.31 | ↑ +91% |
| CIGNA | HMO | $287.85 | ↑ +102% |
| CIGNA | PPO | $287.85 | ↑ +102% |
| AMERIHEALTH | REGIONAL HMO | $292.84 | ↑ +105% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↑ +3658% |
| HORIZON | WORKERS COMP | $6,415.00 | ↑ +4392% |
| HORIZON | OMNIA | $6,440.00 | ↑ +4410% |
| HORIZON | PIP | $6,602.00 | ↑ +4523% |
| HORIZON | SHP | $7,445.00 | ↑ +5114% |
| HORIZON | HMO | $7,956.00 | ↑ +5471% |
| HORIZON | INDEMNITY | $8,061.00 | ↑ +5545% |
| HORIZON | PPO | $8,159.00 | ↑ +5614% |
| AETNA | PPO | $8,419.00 | ↑ +5796% |
| AETNA | HMO | $8,419.00 | ↑ +5796% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ophthalmic biometry at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $142.67 | $142.67 – $171.21 |
| Hackensack University Medical Center | Hackensack | $151.80 | $82.50 – $159.39 |
| Ocean University Medical Center | Brick | $140.87 | $79.02 – $169.05 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.80 | $82.50 – $142.80 |
| Jersey Shore University Medical Center | Neptune City | $142.67 | $79.02 – $171.21 |
| Palisades Medical Center | North Bergen | $151.80 | $78.80 – $165.46 |
| Riverview Medical Center | Red Bank | $142.67 | $79.02 – $171.21 |
| Southern Ocean Medical Center | Manahawkin | $140.87 | $79.02 – $169.05 |