Repair of rectum at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$3,038.07
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.
$7,685.00
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.
$1,022.11 with AETNA 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $1,022.11 | ↓ -66% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -61% |
| KARNA | MEDICARE ADVANTAGE | $1,300.15 | ↓ -57% |
| CLOVER | MEDICARE ADVANTAGE | $1,383.30 | ↓ -54% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,590.80 | ↓ -48% |
| HORIZON | MANAGED MEDICAID | $2,241.00 | ↓ -26% |
| AMERIHEALTH | LOCAL HMO | $2,669.48 | ↓ -12% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↓ -4% |
| CIGNA | HMO | $2,981.00 | ↓ -2% |
| AMERIHEALTH | REGIONAL HMO | $2,982.76 | ↓ -2% |
| WELLCARE | MEDICARE ADVANTAGE | $3,038.07 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,038.07 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,038.07 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,038.07 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,189.98 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $3,250.74 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $3,311.50 | ↑ +9% |
| CIGNA | PPO | $3,336.00 | ↑ +10% |
| UNITED HEALTHCARE | DSNP | $3,645.69 | ↑ +20% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↑ +77% |
| BERGEN RISK | ALL PRODUCTS | $5,763.75 | ↑ +90% |
| HORIZON | OMNIA | $5,871.34 | ↑ +93% |
| AETNA | ASA | $6,017.36 | ↑ +98% |
| CIGNA | BH | $6,148.00 | ↑ +102% |
| HORIZON | WORKERS COMP | $6,415.00 | ↑ +111% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,532.25 | ↑ +115% |
| HORIZON | PIP | $6,602.00 | ↑ +117% |
| QUALCARE | HMO | $6,762.80 | ↑ +123% |
| QUALCARE | PPO | $6,762.80 | ↑ +123% |
| HORIZON | SHP | $7,170.11 | ↑ +136% |
| HORIZON | HMO | $7,239.27 | ↑ +138% |
| HORIZON | INDEMNITY | $7,339.18 | ↑ +142% |
| HORIZON | PPO | $7,423.71 | ↑ +144% |
| AETNA | HMO | $8,419.00 | ↑ +177% |
| AETNA | PPO | $8,419.00 | ↑ +177% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +227% |
| OXFORD | ALL PRODUCTS | $11,028.00 | ↑ +263% |
| UNITED HEALTHCARE | HMO | $13,893.00 | ↑ +357% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Repair of rectum at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $309.11 – $5,994.20 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $300.46 – $6,153.48 |
| Community Medical Center | Toms River | $3,786.00 | $307.70 – $5,964.23 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $296.84 – $6,122.71 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $318.20 – $6,153.48 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $325.80 – $6,426.90 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $593.68 – $6,040.53 |
| Bayshore Medical Center | Holmdel | $3,035.44 | $3,035.44 – $3,642.53 |