Perq p-art revsc 1 nm nt bi at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$12,563.31
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.
$35,023.00
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.
$804.55 with HORIZON vs $33,492.49 with CIGNA — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $804.55 | ↓ -94% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -81% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,392.00 | ↓ -73% |
| AETNA | MANAGED MEDICAID | $4,658.06 | ↓ -63% |
| CLOVER | MEDICARE ADVANTAGE | $6,304.14 | ↓ -50% |
| HORIZON | WORKERS COMP | $6,415.00 | ↓ -49% |
| HORIZON | PIP | $6,602.00 | ↓ -47% |
| HORIZON | OMNIA | $7,185.00 | ↓ -43% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $7,249.76 | ↓ -42% |
| HORIZON | SHP | $8,229.00 | ↓ -34% |
| AETNA | HMO | $8,419.00 | ↓ -33% |
| AETNA | PPO | $8,419.00 | ↓ -33% |
| HORIZON | HMO | $8,876.00 | ↓ -29% |
| HORIZON | INDEMNITY | $8,992.00 | ↓ -28% |
| HORIZON | PPO | $9,102.00 | ↓ -28% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,920.00 | ↓ -5% |
| AMERIHEALTH | LOCAL HMO | $12,134.00 | ↓ -3% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $12,563.31 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $12,563.31 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $12,563.31 | ↑ +0% |
| VACCN | ALL PRODUCTS | $12,563.31 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $13,191.48 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $13,442.74 | ↑ +7% |
| AMERIHEALTH | REGIONAL HMO | $13,558.00 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $13,694.01 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $15,075.97 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $15,603.00 | ↑ +24% |
| OXFORD | ALL PRODUCTS | $21,268.00 | ↑ +69% |
| QUALCARE | WORKERS COMP | $23,290.30 | ↑ +85% |
| UNITED HEALTHCARE | HMO | $26,906.00 | ↑ +114% |
| AETNA | ASA | $27,423.01 | ↑ +118% |
| CIGNA | BH | $28,018.40 | ↑ +123% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $29,769.55 | ↑ +137% |
| QUALCARE | PPO | $31,800.88 | ↑ +153% |
| QUALCARE | HMO | $31,800.88 | ↑ +153% |
| CIGNA | HMO | $33,492.49 | ↑ +167% |
| CIGNA | PPO | $33,492.49 | ↑ +167% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Perq p-art revsc 1 nm nt bi at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $374.79 – $24,787.76 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $534.22 – $25,446.42 |
| Community Medical Center | Toms River | $3,786.00 | $547.09 – $24,663.82 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $527.78 – $25,319.19 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $385.81 – $25,446.42 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $485.02 – $26,577.13 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,055.57 – $24,979.32 |
| Bayshore Medical Center | Holmdel | $12,552.42 | $12,552.42 – $15,062.91 |