Pulmonary vent imaging at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$445.16
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.
$1,085.00
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.
$144.31 with AETNA vs $1,048.11 with HORIZON — 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 | $144.31 | ↓ -68% |
| CLOVER | MEDICARE ADVANTAGE | $195.30 | ↓ -56% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $224.60 | ↓ -50% |
| AMERIHEALTH | LOCAL HMO | $240.68 | ↓ -46% |
| AMERIHEALTH | REGIONAL HMO | $242.65 | ↓ -45% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $282.06 | ↓ -37% |
| KARNA | MEDICARE ADVANTAGE | $336.41 | ↓ -24% |
| VACCN | ALL PRODUCTS | $445.16 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $445.16 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $445.16 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $445.16 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $467.41 | ↑ +5% |
| AETNA | PPO | $474.72 | ↑ +7% |
| AETNA | HMO | $474.72 | ↑ +7% |
| AMERIGROUP | MEDICARE ADVANTAGE | $476.32 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $485.22 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $534.19 | ↑ +20% |
| CIGNA | PPO | $595.65 | ↑ +34% |
| CIGNA | HMO | $595.65 | ↑ +34% |
| QUALCARE | WORKERS COMP | $598.92 | ↑ +35% |
| QUALCARE | PPO | $782.29 | ↑ +76% |
| QUALCARE | HMO | $782.29 | ↑ +76% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $813.75 | ↑ +83% |
| BERGEN RISK | ALL PRODUCTS | $813.75 | ↑ +83% |
| HORIZON | OMNIA | $828.94 | ↑ +86% |
| HORIZON | PIP | $839.79 | ↑ +89% |
| HORIZON | WORKERS COMP | $845.65 | ↑ +90% |
| AETNA | ASA | $849.56 | ↑ +91% |
| CIGNA | BH | $868.00 | ↑ +95% |
| HORIZON | INDEMNITY | $911.73 | ↑ +105% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $922.25 | ↑ +107% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $976.50 | ↑ +119% |
| HORIZON | SHP | $1,012.31 | ↑ +127% |
| OXFORD | ALL PRODUCTS | $1,021.05 | ↑ +129% |
| UNITED HEALTHCARE | HMO | $1,021.05 | ↑ +129% |
| HORIZON | HMO | $1,022.07 | ↑ +130% |
| HORIZON | PPO | $1,048.11 | ↑ +135% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pulmonary vent imaging at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $294.31 | $90.19 – $878.30 |
| Cooperman Barnabas Medical Center | Livingston | $299.41 | $127.74 – $901.64 |
| Clara Maass Medical Center | Belleville | $152.75 | $127.74 – $897.13 |
| Newark Beth Israel Medical Center | Newark | $294.32 | $92.84 – $901.64 |
| Jersey City Medical Center | Jersey City | $325.83 | $116.71 – $941.71 |
| Monmouth Medical Center | Long Branch | $343.07 | $127.74 – $885.09 |
| Bayshore Medical Center | Holmdel | $444.77 | $240.68 – $1,021.05 |
| Hackensack University Medical Center | Hackensack | $473.22 | $115.80 – $1,166.24 |