Specimen fat stain at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$5.88
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.
$1,079.00
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.
$5.32 with AETNA vs $38.92 with AMERIHEALTH — 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 | $5.32 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $5.88 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $5.88 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $5.88 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $5.88 | ↑ +0% |
| VACCN | ALL PRODUCTS | $5.88 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $5.88 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $6.17 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $6.29 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $6.41 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $7.06 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $7.82 | ↑ +33% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $9.47 | ↑ +61% |
| UNITED HEALTHCARE | HMO | $12.07 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $12.07 | ↑ +105% |
| QUALCARE | WORKERS COMP | $26.60 | ↑ +352% |
| CIGNA | PPO | $26.94 | ↑ +358% |
| CIGNA | HMO | $26.94 | ↑ +358% |
| AETNA | PPO | $27.52 | ↑ +368% |
| AETNA | HMO | $27.52 | ↑ +368% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $30.00 | ↑ +410% |
| BERGEN RISK | ALL PRODUCTS | $30.00 | ↑ +410% |
| HORIZON | OMNIA | $30.56 | ↑ +420% |
| HORIZON | PIP | $30.96 | ↑ +427% |
| HORIZON | WORKERS COMP | $31.18 | ↑ +430% |
| AETNA | ASA | $31.32 | ↑ +433% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $32.00 | ↑ +444% |
| CIGNA | BH | $32.00 | ↑ +444% |
| HORIZON | INDEMNITY | $33.61 | ↑ +472% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $34.00 | ↑ +478% |
| AMERIHEALTH | LOCAL HMO | $34.62 | ↑ +489% |
| QUALCARE | HMO | $36.32 | ↑ +518% |
| QUALCARE | PPO | $36.32 | ↑ +518% |
| HORIZON | SHP | $37.32 | ↑ +535% |
| HORIZON | HMO | $37.68 | ↑ +541% |
| HORIZON | PPO | $38.64 | ↑ +557% |
| AMERIHEALTH | REGIONAL HMO | $38.92 | ↑ +562% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Specimen fat stain at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $6.47 | $0.61 – $24.03 |
| Cooperman Barnabas Medical Center | Livingston | $6.47 | $0.98 – $24.03 |
| Community Medical Center | Toms River | $6.47 | $0.98 – $24.03 |
| Clara Maass Medical Center | Belleville | $6.47 | $0.98 – $24.03 |
| Newark Beth Israel Medical Center | Newark | $6.47 | $0.98 – $24.03 |
| Jersey City Medical Center | Jersey City | $6.47 | $0.79 – $24.03 |
| Monmouth Medical Center | Long Branch | $6.47 | $0.98 – $24.03 |
| Bayshore Medical Center | Holmdel | $5.88 | $5.88 – $26.94 |