Rmvl icd pulse gen only at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$4,031.69
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.
$6,664.00
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.
$333.50 with HORIZON vs $6,437.42 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $333.50 | ↓ -92% |
| KARNA | MEDICARE ADVANTAGE | $453.91 | ↓ -89% |
| AETNA | MANAGED MEDICAID | $886.31 | ↓ -78% |
| CLOVER | MEDICARE ADVANTAGE | $1,199.52 | ↓ -70% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,379.45 | ↓ -66% |
| AMERIHEALTH | LOCAL HMO | $2,669.48 | ↓ -34% |
| AMERIHEALTH | REGIONAL HMO | $2,982.76 | ↓ -26% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $3,925.10 | ↓ -3% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,031.69 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4,031.69 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $4,031.69 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4,031.69 | ↑ +0% |
| OXFORD | ALL PRODUCTS | $4,036.38 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,233.27 | ↑ +5% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $4,264.96 | ↑ +6% |
| AMERIGROUP | MEDICARE ADVANTAGE | $4,313.91 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $4,394.54 | ↑ +9% |
| QUALCARE | WORKERS COMP | $4,431.56 | ↑ +10% |
| UNITED HEALTHCARE | DSNP | $4,838.03 | ↑ +20% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,998.00 | ↑ +24% |
| BERGEN RISK | ALL PRODUCTS | $4,998.00 | ↑ +24% |
| HORIZON | OMNIA | $5,091.30 | ↑ +26% |
| HORIZON | PIP | $5,157.94 | ↑ +28% |
| HORIZON | WORKERS COMP | $5,193.92 | ↑ +29% |
| AETNA | ASA | $5,217.91 | ↑ +29% |
| CIGNA | BH | $5,331.20 | ↑ +32% |
| UNITED HEALTHCARE | HMO | $5,426.50 | ↑ +35% |
| HORIZON | INDEMNITY | $5,599.76 | ↑ +39% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,664.40 | ↑ +40% |
| AETNA | HMO | $5,997.60 | ↑ +49% |
| AETNA | PPO | $5,997.60 | ↑ +49% |
| QUALCARE | PPO | $6,050.91 | ↑ +50% |
| QUALCARE | HMO | $6,050.91 | ↑ +50% |
| HORIZON | SHP | $6,217.51 | ↑ +54% |
| HORIZON | HMO | $6,277.49 | ↑ +56% |
| CIGNA | HMO | $6,372.78 | ↑ +58% |
| CIGNA | PPO | $6,372.78 | ↑ +58% |
| HORIZON | PPO | $6,437.42 | ↑ +60% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Rmvl icd pulse gen only at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $108.27 – $7,954.64 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $221.44 – $8,166.00 |
| Community Medical Center | Toms River | $3,786.00 | $226.78 – $7,914.87 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $218.78 – $8,125.17 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $111.46 – $8,166.00 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $140.12 – $8,528.86 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $437.55 – $8,016.12 |
| Bayshore Medical Center | Holmdel | $4,028.20 | $4,028.20 – $4,833.83 |