Pr evaluation psychiatric diagnostic w/medical services at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$177.99
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.
$836.00
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.
$111.19 with AETNA vs $956.00 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 | $111.19 | ↓ -38% |
| CLOVER | MEDICARE ADVANTAGE | $150.48 | ↓ -15% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $173.05 | ↓ -3% |
| WELLCARE | MANAGED MEDICAID | $177.99 | ↑ +0% |
| VACCN | ALL PRODUCTS | $177.99 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $177.99 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $177.99 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $186.89 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $190.45 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $194.01 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $213.59 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $284.13 | ↑ +60% |
| OXFORD | ALL PRODUCTS | $389.00 | ↑ +119% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $492.40 | ↑ +177% |
| QUALCARE | WORKERS COMP | $555.94 | ↑ +212% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $627.00 | ↑ +252% |
| BERGEN RISK | ALL PRODUCTS | $627.00 | ↑ +252% |
| HORIZON | OMNIA | $638.70 | ↑ +259% |
| HORIZON | PIP | $647.06 | ↑ +264% |
| HORIZON | WORKERS COMP | $651.58 | ↑ +266% |
| AETNA | ASA | $654.59 | ↑ +268% |
| CIGNA | BH | $668.80 | ↑ +276% |
| HORIZON | INDEMNITY | $702.49 | ↑ +295% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $710.60 | ↑ +299% |
| AMERIHEALTH | LOCAL HMO | $723.56 | ↑ +307% |
| AETNA | HMO | $752.40 | ↑ +323% |
| AETNA | PPO | $752.40 | ↑ +323% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $752.40 | ↑ +323% |
| QUALCARE | HMO | $759.09 | ↑ +326% |
| QUALCARE | PPO | $759.09 | ↑ +326% |
| HORIZON | SHP | $779.99 | ↑ +338% |
| HORIZON | HMO | $787.51 | ↑ +342% |
| CIGNA | HMO | $799.47 | ↑ +349% |
| CIGNA | PPO | $799.47 | ↑ +349% |
| HORIZON | PPO | $807.58 | ↑ +354% |
| AMERIHEALTH | REGIONAL HMO | $813.34 | ↑ +357% |
| UNITED HEALTHCARE | HMO | $956.00 | ↑ +437% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pr evaluation psychiatric diagnostic w/medical services at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $334.40 | $121.22 – $608.00 |
| Trinitas Regional Medical Center | Elizabeth | $181.13 | $175.59 – $351.18 |
| Cooperman Barnabas Medical Center | Livingston | $153.62 | $180.26 – $360.52 |
| Community Medical Center | Toms River | $200.14 | $175.59 – $349.42 |
| Clara Maass Medical Center | Belleville | $181.99 | $180.26 – $358.72 |
| Childrens Specialized Hospital | Mountainside | $428.00 | $207.00 – $1,396.39 |
| Newark Beth Israel Medical Center | Newark | $185.17 | $180.26 – $360.52 |
| Jersey City Medical Center | Jersey City | $200.52 | $189.21 – $376.53 |