Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$142.76
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.
$342.00
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.
$45.49 with AETNA vs $332.73 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 | $45.49 | ↓ -68% |
| CLOVER | MEDICARE ADVANTAGE | $61.56 | ↓ -57% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $70.79 | ↓ -50% |
| WELLCARE | MANAGED MEDICAID | $142.76 | ↑ +0% |
| VACCN | ALL PRODUCTS | $142.76 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $142.76 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $142.76 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $149.90 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $152.76 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $155.61 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $171.32 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $201.44 | ↑ +41% |
| OXFORD | ALL PRODUCTS | $207.15 | ↑ +45% |
| QUALCARE | WORKERS COMP | $227.43 | ↑ +59% |
| KARNA | MEDICARE ADVANTAGE | $232.25 | ↑ +63% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $256.50 | ↑ +80% |
| BERGEN RISK | ALL PRODUCTS | $256.50 | ↑ +80% |
| HORIZON | OMNIA | $261.29 | ↑ +83% |
| HORIZON | PIP | $264.71 | ↑ +85% |
| HORIZON | WORKERS COMP | $266.55 | ↑ +87% |
| AETNA | ASA | $267.79 | ↑ +88% |
| CIGNA | BH | $273.60 | ↑ +92% |
| UNITED HEALTHCARE | HMO | $278.49 | ↑ +95% |
| HORIZON | INDEMNITY | $287.38 | ↑ +101% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $290.70 | ↑ +104% |
| AMERIHEALTH | LOCAL HMO | $296.00 | ↑ +107% |
| AETNA | PPO | $307.80 | ↑ +116% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $307.80 | ↑ +116% |
| AETNA | HMO | $307.80 | ↑ +116% |
| QUALCARE | PPO | $310.54 | ↑ +118% |
| QUALCARE | HMO | $310.54 | ↑ +118% |
| HORIZON | SHP | $319.09 | ↑ +124% |
| HORIZON | HMO | $322.16 | ↑ +126% |
| CIGNA | HMO | $327.05 | ↑ +129% |
| CIGNA | PPO | $327.05 | ↑ +129% |
| HORIZON | PPO | $330.37 | ↑ +131% |
| AMERIHEALTH | REGIONAL HMO | $332.73 | ↑ +133% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.76 | $128.87 – $232.25 |
| Jersey Shore University Medical Center | Neptune City | $142.64 | $142.64 – $225.42 |
| Palisades Medical Center | North Bergen | $151.77 | $151.77 – $232.25 |
| Riverview Medical Center | Red Bank | $142.64 | $142.64 – $225.42 |
| Southern Ocean Medical Center | Manahawkin | $140.84 | $140.84 – $225.42 |
| Trinitas Regional Medical Center | Elizabeth | not published | $140.84 – $281.68 |
| Cooperman Barnabas Medical Center | Livingston | not published | $144.58 – $289.16 |
| Community Medical Center | Toms River | not published | $140.84 – $280.27 |