Reopen fallopian tube at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$5,468.70
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.
$6,771.00
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.
$67.50 with HORIZON vs $13,893.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $67.50 | ↓ -99% |
| KARNA | MEDICARE ADVANTAGE | $208.64 | ↓ -96% |
| AETNA | MANAGED MEDICAID | $900.54 | ↓ -84% |
| AETNA | MEDICARE ADVANTAGE | $1,049.51 | ↓ -81% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -78% |
| CLOVER | MEDICARE ADVANTAGE | $1,218.78 | ↓ -78% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,401.60 | ↓ -74% |
| AMERIHEALTH | LOCAL HMO | $2,669.48 | ↓ -51% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↓ -47% |
| AMERIHEALTH | REGIONAL HMO | $2,982.76 | ↓ -45% |
| CIGNA | HMO | $3,412.00 | ↓ -38% |
| CIGNA | PPO | $3,817.00 | ↓ -30% |
| BERGEN RISK | ALL PRODUCTS | $5,078.25 | ↓ -7% |
| HORIZON | OMNIA | $5,173.04 | ↓ -5% |
| AETNA | ASA | $5,301.69 | ↓ -3% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↓ -2% |
| CIGNA | BH | $5,416.80 | ↓ -1% |
| WELLCARE | MEDICARE ADVANTAGE | $5,468.70 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,468.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $5,468.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $5,468.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5,742.13 | ↑ +5% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,755.35 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $5,851.51 | ↑ +7% |
| QUALCARE | PPO | $5,958.48 | ↑ +9% |
| QUALCARE | HMO | $5,958.48 | ↑ +9% |
| HORIZON | SHP | $6,317.34 | ↑ +16% |
| HORIZON | HMO | $6,378.28 | ↑ +17% |
| HORIZON | WORKERS COMP | $6,415.00 | ↑ +17% |
| HORIZON | INDEMNITY | $6,466.31 | ↑ +18% |
| HORIZON | PPO | $6,540.79 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $6,562.44 | ↑ +20% |
| HORIZON | PIP | $6,602.00 | ↑ +21% |
| AETNA | PPO | $8,419.00 | ↑ +54% |
| AETNA | HMO | $8,419.00 | ↑ +54% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +82% |
| OXFORD | ALL PRODUCTS | $11,028.00 | ↑ +102% |
| UNITED HEALTHCARE | HMO | $13,893.00 | ↑ +154% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Reopen fallopian tube at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $80.41 – $10,789.90 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $49.20 – $11,076.60 |
| Community Medical Center | Toms River | $3,786.00 | $49.20 – $10,735.95 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $49.20 – $11,021.22 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $49.20 – $11,076.60 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $49.20 – $11,568.79 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $49.20 – $10,873.28 |
| Bayshore Medical Center | Holmdel | $5,463.96 | $5,463.96 – $6,556.75 |