Ot therapeutic activities direct patient contact each 15 minutes at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$44.62
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.
$188.00
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.
$25.00 with AETNA vs $471.00 with OXFORD — 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 | $25.00 | ↓ -44% |
| CLOVER | MEDICARE ADVANTAGE | $33.84 | ↓ -24% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $38.92 | ↓ -13% |
| AMERIGROUP | MANAGED MEDICAID | $44.62 | ↑ +0% |
| VACCN | ALL PRODUCTS | $44.62 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $46.85 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $47.74 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $48.64 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $53.54 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $60.00 | ↑ +34% |
| KARNA | MEDICARE ADVANTAGE | $63.79 | ↑ +43% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $90.00 | ↑ +102% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $110.73 | ↑ +148% |
| AETNA | HMO | $136.73 | ↑ +206% |
| AETNA | PPO | $136.73 | ↑ +206% |
| HORIZON | OMNIA | $143.63 | ↑ +222% |
| HORIZON | PIP | $145.51 | ↑ +226% |
| HORIZON | WORKERS COMP | $146.53 | ↑ +228% |
| AETNA | ASA | $147.20 | ↑ +230% |
| CIGNA | BH | $150.40 | ↑ +237% |
| QUALCARE | HMO | $156.00 | ↑ +250% |
| HORIZON | INDEMNITY | $157.98 | ↑ +254% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $159.80 | ↑ +258% |
| AMERIHEALTH | LOCAL HMO | $162.71 | ↑ +265% |
| QUALCARE | PPO | $166.00 | ↑ +272% |
| QUALCARE | WORKERS COMP | $166.00 | ↑ +272% |
| HORIZON | SHP | $175.40 | ↑ +293% |
| HORIZON | HMO | $177.10 | ↑ +297% |
| CIGNA | HMO | $179.78 | ↑ +303% |
| CIGNA | PPO | $179.78 | ↑ +303% |
| HORIZON | PPO | $181.61 | ↑ +307% |
| AMERIHEALTH | REGIONAL HMO | $182.91 | ↑ +310% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +402% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +402% |
| BERGEN RISK | ALL PRODUCTS | $291.00 | ↑ +552% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $355.00 | ↑ +696% |
| UNITED HEALTHCARE | HMO | $374.00 | ↑ +738% |
| OXFORD | ALL PRODUCTS | $471.00 | ↑ +956% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ot therapeutic activities direct patient contact each 15 minutes at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $75.20 | $27.26 – $27.26 |
| Saint Barnabas Behavioral Health Center | Toms River | $76.26 | not published |
| Childrens Specialized Hospital | Mountainside | $76.50 | $237.00 – $394.00 |
| Bayshore Medical Center | Holmdel | $44.62 | $44.62 – $447.00 |
| Hackensack University Medical Center | Hackensack | $44.62 | $35.70 – $406.00 |
| Ocean University Medical Center | Brick | $44.62 | $44.62 – $500.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $44.62 | $44.62 – $523.00 |
| Jersey Shore University Medical Center | Neptune City | $44.62 | $35.70 – $561.00 |