Pm device progr eval dual at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$41.31
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.
$286.00
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.
$38.04 with AETNA vs $278.25 with AMERIHEALTH — 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 | $38.04 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $41.31 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $41.31 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $41.31 | ↑ +0% |
| VACCN | ALL PRODUCTS | $41.31 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $43.38 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $44.20 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $45.03 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $49.57 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $51.48 | ↑ +25% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $59.20 | ↑ +43% |
| HORIZON | MANAGED MEDICAID | $82.93 | ↑ +101% |
| KARNA | MEDICARE ADVANTAGE | $138.26 | ↑ +235% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $168.45 | ↑ +308% |
| OXFORD | ALL PRODUCTS | $173.23 | ↑ +319% |
| QUALCARE | WORKERS COMP | $190.19 | ↑ +360% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $214.50 | ↑ +419% |
| BERGEN RISK | ALL PRODUCTS | $214.50 | ↑ +419% |
| HORIZON | OMNIA | $218.50 | ↑ +429% |
| HORIZON | PIP | $221.36 | ↑ +436% |
| HORIZON | WORKERS COMP | $222.91 | ↑ +440% |
| AETNA | ASA | $223.94 | ↑ +442% |
| CIGNA | BH | $228.80 | ↑ +454% |
| UNITED HEALTHCARE | HMO | $232.89 | ↑ +464% |
| HORIZON | INDEMNITY | $240.33 | ↑ +482% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $243.10 | ↑ +488% |
| AMERIHEALTH | LOCAL HMO | $247.53 | ↑ +499% |
| AETNA | PPO | $257.40 | ↑ +523% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $257.40 | ↑ +523% |
| AETNA | HMO | $257.40 | ↑ +523% |
| QUALCARE | HMO | $259.69 | ↑ +529% |
| QUALCARE | PPO | $259.69 | ↑ +529% |
| HORIZON | SHP | $266.84 | ↑ +546% |
| HORIZON | HMO | $269.41 | ↑ +552% |
| CIGNA | PPO | $273.50 | ↑ +562% |
| CIGNA | HMO | $273.50 | ↑ +562% |
| HORIZON | PPO | $276.28 | ↑ +569% |
| AMERIHEALTH | REGIONAL HMO | $278.25 | ↑ +574% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pm device progr eval dual at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Newark Beth Israel Medical Center | Newark | $78.94 | $41.63 – $83.68 |
| Bayshore Medical Center | Holmdel | $41.27 | $41.27 – $49.53 |
| Hackensack University Medical Center | Hackensack | $43.91 | $35.13 – $2,033.00 |
| Ocean University Medical Center | Brick | $40.75 | $37.29 – $132.13 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $41.31 | $37.29 – $1,042.00 |
| Jersey Shore University Medical Center | Neptune City | $41.27 | $41.27 – $132.13 |
| Palisades Medical Center | North Bergen | $43.91 | $43.91 – $138.26 |
| Riverview Medical Center | Red Bank | $41.27 | $41.27 – $132.13 |