Pelvic ring fracture uni/bil at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$7,913.97
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.
$7,913.00
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.
$1,052.43 with AETNA 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $1,052.43 | ↓ -87% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -85% |
| CLOVER | MEDICARE ADVANTAGE | $1,424.34 | ↓ -82% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,637.99 | ↓ -79% |
| KARNA | MEDICARE ADVANTAGE | $1,932.31 | ↓ -76% |
| HORIZON | MANAGED MEDICAID | $2,438.00 | ↓ -69% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↓ -63% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↓ -32% |
| BERGEN RISK | ALL PRODUCTS | $5,934.75 | ↓ -25% |
| HORIZON | OMNIA | $6,045.53 | ↓ -24% |
| AETNA | ASA | $6,195.88 | ↓ -22% |
| CIGNA | BH | $6,330.40 | ↓ -20% |
| HORIZON | WORKERS COMP | $6,415.00 | ↓ -19% |
| HORIZON | PIP | $6,602.00 | ↓ -17% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,726.05 | ↓ -15% |
| AMERIHEALTH | LOCAL HMO | $6,848.70 | ↓ -13% |
| QUALCARE | HMO | $6,963.44 | ↓ -12% |
| QUALCARE | PPO | $6,963.44 | ↓ -12% |
| CIGNA | PPO | $7,113.00 | ↓ -10% |
| CIGNA | HMO | $7,113.00 | ↓ -10% |
| HORIZON | SHP | $7,382.83 | ↓ -7% |
| HORIZON | HMO | $7,454.05 | ↓ -6% |
| HORIZON | INDEMNITY | $7,556.92 | ↓ -5% |
| HORIZON | PPO | $7,643.96 | ↓ -3% |
| AMERIHEALTH | REGIONAL HMO | $7,698.56 | ↓ -3% |
| WELLCARE | MEDICARE ADVANTAGE | $7,913.97 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $7,913.97 | ↑ +0% |
| VACCN | ALL PRODUCTS | $7,913.97 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $7,913.97 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $8,309.67 | ↑ +5% |
| AETNA | HMO | $8,419.00 | ↑ +6% |
| AETNA | PPO | $8,419.00 | ↑ +6% |
| AMERIGROUP | MEDICARE ADVANTAGE | $8,467.94 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $8,626.22 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $9,496.76 | ↑ +20% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +26% |
| OXFORD | ALL PRODUCTS | $11,028.00 | ↑ +39% |
| UNITED HEALTHCARE | HMO | $13,893.00 | ↑ +76% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pelvic ring fracture uni/bil at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $7,913.97 | $1,932.31 – $7,913.97 |
| Jersey Shore University Medical Center | Neptune City | $7,907.11 | $1,872.64 – $9,488.53 |
| Palisades Medical Center | North Bergen | $8,412.89 | $1,932.31 – $9,170.04 |
| Riverview Medical Center | Red Bank | $7,907.11 | $1,872.64 – $9,488.53 |
| Southern Ocean Medical Center | Manahawkin | $7,807.24 | $1,872.64 – $9,368.69 |
| Trinitas Regional Medical Center | Elizabeth | not published | $545.72 – $15,614.48 |
| Cooperman Barnabas Medical Center | Livingston | not published | $8,014.69 – $16,029.38 |
| Community Medical Center | Toms River | not published | $7,807.24 – $15,536.41 |