Prgrmg eval implantable dfb 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.
$345.00
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.
$41.31 with VACCN vs $335.65 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 |
|---|---|---|---|
| VACCN | ALL PRODUCTS | $41.31 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $41.31 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $41.31 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $41.31 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $43.38 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $44.20 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $45.03 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $45.89 | ↑ +11% |
| UNITED HEALTHCARE | DSNP | $49.57 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $62.10 | ↑ +50% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $71.42 | ↑ +73% |
| HORIZON | MANAGED MEDICAID | $132.38 | ↑ +220% |
| KARNA | MEDICARE ADVANTAGE | $183.42 | ↑ +344% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $203.21 | ↑ +392% |
| OXFORD | ALL PRODUCTS | $208.97 | ↑ +406% |
| QUALCARE | WORKERS COMP | $229.43 | ↑ +455% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $258.75 | ↑ +526% |
| BERGEN RISK | ALL PRODUCTS | $258.75 | ↑ +526% |
| HORIZON | OMNIA | $263.58 | ↑ +538% |
| HORIZON | PIP | $267.03 | ↑ +546% |
| HORIZON | WORKERS COMP | $268.89 | ↑ +551% |
| AETNA | ASA | $270.14 | ↑ +554% |
| CIGNA | BH | $276.00 | ↑ +568% |
| UNITED HEALTHCARE | HMO | $280.93 | ↑ +580% |
| HORIZON | INDEMNITY | $289.90 | ↑ +602% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $293.25 | ↑ +610% |
| AMERIHEALTH | LOCAL HMO | $298.60 | ↑ +623% |
| AETNA | PPO | $310.50 | ↑ +652% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $310.50 | ↑ +652% |
| AETNA | HMO | $310.50 | ↑ +652% |
| QUALCARE | HMO | $313.26 | ↑ +658% |
| QUALCARE | PPO | $313.26 | ↑ +658% |
| HORIZON | SHP | $321.89 | ↑ +679% |
| HORIZON | HMO | $324.99 | ↑ +687% |
| CIGNA | PPO | $329.92 | ↑ +699% |
| CIGNA | HMO | $329.92 | ↑ +699% |
| HORIZON | PPO | $333.27 | ↑ +707% |
| AMERIHEALTH | REGIONAL HMO | $335.65 | ↑ +713% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Prgrmg eval implantable dfb at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Newark Beth Israel Medical Center | Newark | $107.89 | $41.84 – $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 – $175.80 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $41.31 | $37.29 – $1,042.00 |
| Jersey Shore University Medical Center | Neptune City | $41.27 | $41.27 – $175.80 |
| Palisades Medical Center | North Bergen | $43.91 | $43.91 – $183.42 |
| Riverview Medical Center | Red Bank | $41.27 | $41.27 – $175.80 |