Radphm lcl tumor plr sgl day 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.
$2,750.00
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.
$254.75 with UNITED HEALTHCARE vs $2,656.50 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $254.75 | ↓ -43% |
| HORIZON | MANAGED MEDICAID | $308.25 | ↓ -31% |
| AMERIHEALTH | LOCAL HMO | $344.11 | ↓ -23% |
| AMERIHEALTH | REGIONAL HMO | $346.93 | ↓ -22% |
| AETNA | MANAGED MEDICAID | $365.75 | ↓ -18% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $445.16 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $445.16 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $445.16 | ↑ +0% |
| VACCN | ALL PRODUCTS | $445.16 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $453.41 | ↑ +2% |
| AETNA | PPO | $465.61 | ↑ +5% |
| AETNA | HMO | $465.61 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $467.41 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $476.32 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $485.22 | ↑ +9% |
| CLOVER | MEDICARE ADVANTAGE | $495.00 | ↑ +11% |
| UNITED HEALTHCARE | DSNP | $534.19 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $569.25 | ↑ +28% |
| CIGNA | HMO | $816.70 | ↑ +83% |
| CIGNA | PPO | $816.70 | ↑ +83% |
| UNITED HEALTHCARE | HMO | $1,021.05 | ↑ +129% |
| OXFORD | ALL PRODUCTS | $1,021.05 | ↑ +129% |
| QUALCARE | WORKERS COMP | $1,518.00 | ↑ +241% |
| QUALCARE | PPO | $1,982.75 | ↑ +345% |
| QUALCARE | HMO | $1,982.75 | ↑ +345% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,062.50 | ↑ +363% |
| BERGEN RISK | ALL PRODUCTS | $2,062.50 | ↑ +363% |
| HORIZON | OMNIA | $2,101.00 | ↑ +372% |
| HORIZON | PIP | $2,128.50 | ↑ +378% |
| HORIZON | WORKERS COMP | $2,143.35 | ↑ +381% |
| AETNA | ASA | $2,153.25 | ↑ +384% |
| CIGNA | BH | $2,200.00 | ↑ +394% |
| HORIZON | INDEMNITY | $2,310.83 | ↑ +419% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,337.50 | ↑ +425% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,475.00 | ↑ +456% |
| HORIZON | SHP | $2,565.75 | ↑ +476% |
| HORIZON | HMO | $2,590.50 | ↑ +482% |
| HORIZON | PPO | $2,656.50 | ↑ +497% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Radphm lcl tumor plr sgl day at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $433.02 | $121.59 – $1,051.73 |
| Cooperman Barnabas Medical Center | Livingston | $451.77 | $224.68 – $1,051.73 |
| Community Medical Center | Toms River | $478.47 | $224.68 – $1,051.73 |
| Clara Maass Medical Center | Belleville | $273.08 | $224.68 – $1,051.73 |
| Newark Beth Israel Medical Center | Newark | $444.09 | $125.17 – $1,051.73 |
| Jersey City Medical Center | Jersey City | $479.39 | $157.36 – $1,051.73 |
| Monmouth Medical Center | Long Branch | $504.77 | $224.68 – $1,051.73 |
| Bayshore Medical Center | Holmdel | $444.77 | $254.75 – $1,021.05 |