Pegloticase 8 mg/ml intravenous solution at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$3,638.86
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.
$10,338.64
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.
$1,860.96 with CLOVER vs $9,987.13 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $1,860.96 | ↓ -49% |
| HORIZON | MANAGED MEDICAID | $3,093.03 | ↓ -15% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,638.86 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,638.86 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,820.80 | ↑ +5% |
| QUALCARE | PPO | $3,876.99 | ↑ +7% |
| QUALCARE | HMO | $3,876.99 | ↑ +7% |
| QUALCARE | WORKERS COMP | $3,876.99 | ↑ +7% |
| AMERIGROUP | MEDICARE ADVANTAGE | $3,893.58 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $3,966.36 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4,366.63 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $4,483.53 | ↑ +23% |
| WELLCARE | MANAGED MEDICAID | $4,652.39 | ↑ +28% |
| WELLCARE | MEDICARE ADVANTAGE | $4,652.39 | ↑ +28% |
| AMERIHEALTH | LOCAL HMO | $4,899.48 | ↑ +35% |
| AETNA | MANAGED MEDICAID | $5,065.93 | ↑ +39% |
| CIGNA | HMO | $5,117.63 | ↑ +41% |
| CIGNA | PPO | $5,117.63 | ↑ +41% |
| AMERIGROUP | MANAGED MEDICAID | $5,169.32 | ↑ +42% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $5,169.32 | ↑ +42% |
| AMERIHEALTH | REGIONAL HMO | $5,477.41 | ↑ +51% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $6,089.46 | ↑ +67% |
| BERGEN RISK | ALL PRODUCTS | $6,203.18 | ↑ +70% |
| AETNA | HMO | $6,306.57 | ↑ +73% |
| AETNA | PPO | $6,306.57 | ↑ +73% |
| UNITED HEALTHCARE | HMO | $6,375.09 | ↑ +75% |
| OXFORD | ALL PRODUCTS | $6,375.09 | ↑ +75% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $7,753.98 | ↑ +113% |
| HORIZON | OMNIA | $7,898.72 | ↑ +117% |
| HORIZON | PIP | $8,002.11 | ↑ +120% |
| HORIZON | WORKERS COMP | $8,057.94 | ↑ +121% |
| AETNA | ASA | $8,095.16 | ↑ +122% |
| CIGNA | BH | $8,270.91 | ↑ +127% |
| HORIZON | INDEMNITY | $8,687.56 | ↑ +139% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $8,787.84 | ↑ +141% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,304.78 | ↑ +156% |
| HORIZON | SHP | $9,645.95 | ↑ +165% |
| HORIZON | HMO | $9,739.00 | ↑ +168% |
| HORIZON | PPO | $9,987.13 | ↑ +174% |
Visitor-reported prices
Comments
Pegloticase 8 mg/ml intravenous solution at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,638.86 | $3,004.40 – $6,375.09 |
| Jersey Shore University Medical Center | Neptune City | $3,638.86 | $3,093.03 – $6,575.47 |
| Palisades Medical Center | North Bergen | $3,482.15 | $3,093.03 – $6,375.09 |
| Riverview Medical Center | Red Bank | $3,638.86 | $3,093.03 – $6,375.09 |
| Southern Ocean Medical Center | Manahawkin | $3,638.86 | $3,093.03 – $6,375.09 |
| Trinitas Regional Medical Center | Elizabeth | not published | $290.32 – $7,720.76 |
| Cooperman Barnabas Medical Center | Livingston | not published | $3,173.13 – $7,965.74 |
| Community Medical Center | Toms River | not published | $3,173.13 – $7,720.76 |