Sputum specimen collection at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$189.84
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.
$223.00
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.
$29.66 with AETNA vs $2,682.00 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 | $29.66 | ↓ -84% |
| KARNA | MEDICARE ADVANTAGE | $38.04 | ↓ -80% |
| CLOVER | MEDICARE ADVANTAGE | $40.14 | ↓ -79% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $46.16 | ↓ -76% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $131.35 | ↓ -31% |
| QUALCARE | WORKERS COMP | $148.30 | ↓ -22% |
| BERGEN RISK | ALL PRODUCTS | $167.25 | ↓ -12% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $167.25 | ↓ -12% |
| HORIZON | OMNIA | $170.37 | ↓ -10% |
| HORIZON | PIP | $172.60 | ↓ -9% |
| HORIZON | WORKERS COMP | $173.81 | ↓ -8% |
| AETNA | ASA | $174.61 | ↓ -8% |
| CIGNA | BH | $178.40 | ↓ -6% |
| HORIZON | INDEMNITY | $187.39 | ↓ -1% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $189.55 | ↓ -0% |
| WELLCARE | MANAGED MEDICAID | $189.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $189.84 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $189.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $189.84 | ↑ +0% |
| AMERIHEALTH | LOCAL HMO | $193.01 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $199.33 | ↑ +5% |
| AETNA | HMO | $200.70 | ↑ +6% |
| AETNA | PPO | $200.70 | ↑ +6% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $200.70 | ↑ +6% |
| QUALCARE | HMO | $202.48 | ↑ +7% |
| QUALCARE | PPO | $202.48 | ↑ +7% |
| AMERIGROUP | MEDICARE ADVANTAGE | $203.12 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $206.92 | ↑ +9% |
| HORIZON | SHP | $208.06 | ↑ +10% |
| HORIZON | HMO | $210.07 | ↑ +11% |
| CIGNA | PPO | $213.25 | ↑ +12% |
| CIGNA | HMO | $213.25 | ↑ +12% |
| HORIZON | PPO | $215.42 | ↑ +13% |
| AMERIHEALTH | REGIONAL HMO | $216.96 | ↑ +14% |
| UNITED HEALTHCARE | DSNP | $227.80 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $396.00 | ↑ +109% |
| UNITED HEALTHCARE | HMO | $2,682.00 | ↑ +1313% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Sputum specimen collection at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $74.80 | $9.67 – $384.50 |
| Clara Maass Medical Center | Belleville | $103.82 | $9.65 – $382.58 |
| Newark Beth Israel Medical Center | Newark | $73.52 | $9.67 – $384.50 |
| Bayshore Medical Center | Holmdel | $189.67 | $189.67 – $770.00 |
| Hackensack University Medical Center | Hackensack | $201.80 | $23.30 – $794.00 |
| Ocean University Medical Center | Brick | $187.28 | $8.80 – $317.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $189.84 | $8.80 – $317.00 |
| Jersey Shore University Medical Center | Neptune City | $189.67 | $35.95 – $604.00 |