Peng benzathine/procaine inj at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$17.37
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.
$84.51
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.
$4.61 with CLOVER vs $25.30 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $4.61 | ↓ -73% |
| QUALCARE | WORKERS COMP | $9.61 | ↓ -45% |
| QUALCARE | HMO | $9.61 | ↓ -45% |
| QUALCARE | PPO | $9.61 | ↓ -45% |
| WELLCARE | MANAGED MEDICAID | $11.53 | ↓ -34% |
| WELLCARE | MEDICARE ADVANTAGE | $11.53 | ↓ -34% |
| AMERIHEALTH | LOCAL HMO | $12.15 | ↓ -30% |
| AETNA | MANAGED MEDICAID | $12.56 | ↓ -28% |
| CIGNA | HMO | $12.69 | ↓ -27% |
| CIGNA | PPO | $12.69 | ↓ -27% |
| AMERIGROUP | MANAGED MEDICAID | $12.82 | ↓ -26% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $12.82 | ↓ -26% |
| AMERIHEALTH | REGIONAL HMO | $13.58 | ↓ -22% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $15.10 | ↓ -13% |
| BERGEN RISK | ALL PRODUCTS | $15.38 | ↓ -11% |
| AETNA | PPO | $15.63 | ↓ -10% |
| AETNA | HMO | $15.63 | ↓ -10% |
| HORIZON | MANAGED MEDICAID | $16.59 | ↓ -4% |
| VACCN | ALL PRODUCTS | $17.37 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $17.37 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $18.24 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $18.59 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $18.93 | ↑ +9% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $19.22 | ↑ +11% |
| HORIZON | OMNIA | $19.58 | ↑ +13% |
| HORIZON | PIP | $19.84 | ↑ +14% |
| HORIZON | WORKERS COMP | $19.98 | ↑ +15% |
| AETNA | ASA | $20.07 | ↑ +16% |
| CIGNA | BH | $20.50 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $20.84 | ↑ +20% |
| HORIZON | INDEMNITY | $21.54 | ↑ +24% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $21.79 | ↑ +25% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $23.07 | ↑ +33% |
| KARNA | MEDICARE ADVANTAGE | $23.38 | ↑ +35% |
| HORIZON | SHP | $23.91 | ↑ +38% |
| HORIZON | HMO | $24.14 | ↑ +39% |
| HORIZON | PPO | $24.76 | ↑ +43% |
| UNITED HEALTHCARE | HMO | $25.30 | ↑ +46% |
| OXFORD | ALL PRODUCTS | $25.30 | ↑ +46% |
Visitor-reported prices
Comments
Peng benzathine/procaine inj at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $17.37 | $14.09 – $25.30 |
| Jersey Shore University Medical Center | Neptune City | $17.37 | $16.59 – $26.09 |
| Palisades Medical Center | North Bergen | $19.52 | $16.59 – $23.38 |
| Riverview Medical Center | Red Bank | $17.37 | $16.59 – $25.30 |
| Southern Ocean Medical Center | Manahawkin | $17.37 | $16.59 – $25.30 |
| Trinitas Regional Medical Center | Elizabeth | not published | $3.22 – $37.77 |
| Cooperman Barnabas Medical Center | Livingston | not published | $15.46 – $38.98 |
| Community Medical Center | Toms River | not published | $15.46 – $37.77 |