Quant diff pulm perf and vent w/imaging at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$596.31
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.
$2,649.00
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.
$352.32 with AETNA vs $2,558.93 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 | $352.32 | ↓ -41% |
| CLOVER | MEDICARE ADVANTAGE | $476.82 | ↓ -20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $490.01 | ↓ -18% |
| KARNA | MEDICARE ADVANTAGE | $537.07 | ↓ -10% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $548.34 | ↓ -8% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $596.31 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $596.31 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $596.31 | ↑ +0% |
| VACCN | ALL PRODUCTS | $596.31 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $626.12 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $638.05 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $649.97 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $715.57 | ↑ +20% |
| AETNA | PPO | $774.81 | ↑ +30% |
| AETNA | HMO | $774.81 | ↑ +30% |
| CIGNA | HMO | $959.94 | ↑ +61% |
| CIGNA | PPO | $959.94 | ↑ +61% |
| AMERIHEALTH | LOCAL HMO | $1,017.42 | ↑ +71% |
| AMERIHEALTH | REGIONAL HMO | $1,025.76 | ↑ +72% |
| UNITED HEALTHCARE | HMO | $1,325.05 | ↑ +122% |
| OXFORD | ALL PRODUCTS | $1,325.05 | ↑ +122% |
| QUALCARE | WORKERS COMP | $1,462.25 | ↑ +145% |
| QUALCARE | PPO | $1,909.93 | ↑ +220% |
| QUALCARE | HMO | $1,909.93 | ↑ +220% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,986.75 | ↑ +233% |
| BERGEN RISK | ALL PRODUCTS | $1,986.75 | ↑ +233% |
| HORIZON | OMNIA | $2,023.84 | ↑ +239% |
| HORIZON | PIP | $2,050.33 | ↑ +244% |
| HORIZON | WORKERS COMP | $2,064.63 | ↑ +246% |
| AETNA | ASA | $2,074.17 | ↑ +248% |
| CIGNA | BH | $2,119.20 | ↑ +255% |
| HORIZON | INDEMNITY | $2,225.95 | ↑ +273% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,251.65 | ↑ +278% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,384.10 | ↑ +300% |
| HORIZON | SHP | $2,471.52 | ↑ +314% |
| HORIZON | HMO | $2,495.36 | ↑ +318% |
| HORIZON | PPO | $2,558.93 | ↑ +329% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Quant diff pulm perf and vent w/imaging at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $505.66 | $144.02 – $1,235.64 |
| Cooperman Barnabas Medical Center | Livingston | $536.95 | $221.15 – $1,235.64 |
| Community Medical Center | Toms River | $558.73 | $221.15 – $1,235.64 |
| Clara Maass Medical Center | Belleville | $267.32 | $221.15 – $1,235.64 |
| Newark Beth Israel Medical Center | Newark | $527.83 | $148.26 – $1,235.64 |
| Jersey City Medical Center | Jersey City | $559.81 | $186.38 – $1,261.46 |
| Monmouth Medical Center | Long Branch | $589.44 | $221.15 – $1,235.64 |
| Bayshore Medical Center | Holmdel | $595.79 | $490.01 – $1,325.05 |