Rp loclzj tum spect w/ct 1 at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$1,446.24
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.
$4,125.00
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.
$548.63 with AETNA vs $3,984.75 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 | $548.63 | ↓ -62% |
| AMERIHEALTH | LOCAL HMO | $596.73 | ↓ -59% |
| AMERIHEALTH | REGIONAL HMO | $601.62 | ↓ -58% |
| CLOVER | MEDICARE ADVANTAGE | $742.50 | ↓ -49% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $810.97 | ↓ -44% |
| KARNA | MEDICARE ADVANTAGE | $847.68 | ↓ -41% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $853.88 | ↓ -41% |
| AETNA | PPO | $1,215.36 | ↓ -16% |
| AETNA | HMO | $1,215.36 | ↓ -16% |
| VACCN | ALL PRODUCTS | $1,446.24 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,446.24 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,446.24 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,446.24 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,518.55 | ↑ +5% |
| CIGNA | PPO | $1,536.42 | ↑ +6% |
| CIGNA | HMO | $1,536.42 | ↑ +6% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,547.47 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $1,576.40 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,735.48 | ↑ +20% |
| QUALCARE | WORKERS COMP | $2,277.00 | ↑ +57% |
| QUALCARE | PPO | $2,974.13 | ↑ +106% |
| QUALCARE | HMO | $2,974.13 | ↑ +106% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,093.75 | ↑ +114% |
| BERGEN RISK | ALL PRODUCTS | $3,093.75 | ↑ +114% |
| HORIZON | OMNIA | $3,151.50 | ↑ +118% |
| HORIZON | PIP | $3,192.75 | ↑ +121% |
| HORIZON | WORKERS COMP | $3,215.03 | ↑ +122% |
| AETNA | ASA | $3,229.88 | ↑ +123% |
| CIGNA | BH | $3,300.00 | ↑ +128% |
| HORIZON | INDEMNITY | $3,466.24 | ↑ +140% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,506.25 | ↑ +142% |
| OXFORD | ALL PRODUCTS | $3,535.83 | ↑ +144% |
| UNITED HEALTHCARE | HMO | $3,535.83 | ↑ +144% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,712.50 | ↑ +157% |
| HORIZON | SHP | $3,848.63 | ↑ +166% |
| HORIZON | HMO | $3,885.75 | ↑ +169% |
| HORIZON | PPO | $3,984.75 | ↑ +176% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Rp loclzj tum spect w/ct 1 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $629.97 | $373.00 – $2,929.28 |
| Clara Maass Medical Center | Belleville | $792.21 | $373.00 – $2,914.63 |
| Newark Beth Israel Medical Center | Newark | $619.27 | $234.09 – $2,929.28 |
| Bayshore Medical Center | Holmdel | $1,444.98 | $596.73 – $3,535.83 |
| Hackensack University Medical Center | Hackensack | $1,537.41 | $338.14 – $4,038.62 |
| Ocean University Medical Center | Brick | $1,426.73 | $596.73 – $3,535.83 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,446.24 | $533.60 – $3,744.78 |
| Jersey Shore University Medical Center | Neptune City | $1,444.98 | $586.42 – $4,012.50 |