Proctosigmoidoscopy w/bx 45305 at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$1,306.21
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.
$3,011.00
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.
$154.93 with KARNA vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $154.93 | ↓ -88% |
| AETNA | MANAGED MEDICAID | $400.46 | ↓ -69% |
| CLOVER | MEDICARE ADVANTAGE | $541.98 | ↓ -59% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $623.28 | ↓ -52% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -9% |
| VACCN | ALL PRODUCTS | $1,306.21 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,306.21 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,306.21 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,306.21 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,371.52 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,397.64 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $1,423.77 | ↑ +9% |
| AMERIHEALTH | LOCAL HMO | $1,456.08 | ↑ +11% |
| UNITED HEALTHCARE | DSNP | $1,567.45 | ↑ +20% |
| AMERIHEALTH | REGIONAL HMO | $1,626.96 | ↑ +25% |
| CIGNA | HMO | $2,139.00 | ↑ +64% |
| HORIZON | MANAGED MEDICAID | $2,241.00 | ↑ +72% |
| BERGEN RISK | ALL PRODUCTS | $2,258.25 | ↑ +73% |
| HORIZON | OMNIA | $2,300.40 | ↑ +76% |
| AETNA | ASA | $2,357.61 | ↑ +80% |
| CIGNA | PPO | $2,396.00 | ↑ +83% |
| CIGNA | BH | $2,408.80 | ↑ +84% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,559.35 | ↑ +96% |
| QUALCARE | PPO | $2,649.68 | ↑ +103% |
| QUALCARE | HMO | $2,649.68 | ↑ +103% |
| HORIZON | SHP | $2,809.26 | ↑ +115% |
| HORIZON | HMO | $2,836.36 | ↑ +117% |
| HORIZON | INDEMNITY | $2,875.51 | ↑ +120% |
| HORIZON | PPO | $2,908.63 | ↑ +123% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↑ +123% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↑ +311% |
| OXFORD | ALL PRODUCTS | $6,058.00 | ↑ +364% |
| HORIZON | WORKERS COMP | $6,415.00 | ↑ +391% |
| HORIZON | PIP | $6,602.00 | ↑ +405% |
| UNITED HEALTHCARE | HMO | $7,579.00 | ↑ +480% |
| AETNA | PPO | $8,419.00 | ↑ +545% |
| AETNA | HMO | $8,419.00 | ↑ +545% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +660% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Proctosigmoidoscopy w/bx 45305 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $94.17 – $2,577.18 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $62.37 – $2,645.66 |
| Community Medical Center | Toms River | $3,786.00 | $63.87 – $2,564.29 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $61.61 – $2,632.43 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $96.94 – $2,645.66 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $67.63 – $2,763.23 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $123.23 – $2,597.11 |
| Bayshore Medical Center | Holmdel | $1,305.08 | $1,305.08 – $1,566.09 |