St evaluation swallow function at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$91.47
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.
$646.00
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.
$60.00 with HORIZON vs $628.49 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $60.00 | ↓ -34% |
| AETNA | MANAGED MEDICAID | $85.92 | ↓ -6% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $90.00 | ↓ -2% |
| AMERIGROUP | MANAGED MEDICAID | $91.47 | ↑ +0% |
| VACCN | ALL PRODUCTS | $91.47 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $96.04 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $97.87 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $99.70 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $109.76 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $116.28 | ↑ +27% |
| KARNA | MEDICARE ADVANTAGE | $120.03 | ↑ +31% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $133.72 | ↑ +46% |
| QUALCARE | HMO | $156.00 | ↑ +71% |
| QUALCARE | WORKERS COMP | $166.00 | ↑ +81% |
| QUALCARE | PPO | $166.00 | ↑ +81% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +145% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +145% |
| OXFORD | ALL PRODUCTS | $265.00 | ↑ +190% |
| UNITED HEALTHCARE | HMO | $374.00 | ↑ +309% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $380.49 | ↑ +316% |
| BERGEN RISK | ALL PRODUCTS | $484.50 | ↑ +430% |
| HORIZON | OMNIA | $493.54 | ↑ +440% |
| HORIZON | PIP | $500.00 | ↑ +447% |
| HORIZON | WORKERS COMP | $503.49 | ↑ +450% |
| AETNA | ASA | $505.82 | ↑ +453% |
| CIGNA | BH | $516.80 | ↑ +465% |
| HORIZON | INDEMNITY | $542.83 | ↑ +493% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $549.10 | ↑ +500% |
| AMERIHEALTH | LOCAL HMO | $559.11 | ↑ +511% |
| AETNA | PPO | $581.40 | ↑ +536% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $581.40 | ↑ +536% |
| AETNA | HMO | $581.40 | ↑ +536% |
| HORIZON | SHP | $602.72 | ↑ +559% |
| HORIZON | HMO | $608.53 | ↑ +565% |
| CIGNA | HMO | $617.77 | ↑ +575% |
| CIGNA | PPO | $617.77 | ↑ +575% |
| HORIZON | PPO | $624.04 | ↑ +582% |
| AMERIHEALTH | REGIONAL HMO | $628.49 | ↑ +587% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
St evaluation swallow function at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Saint Barnabas Behavioral Health Center | Toms River | $271.05 | not published |
| Childrens Specialized Hospital | Mountainside | $338.00 | $64.65 – $64.65 |
| Bayshore Medical Center | Holmdel | $91.47 | $91.47 – $614.00 |
| Hackensack University Medical Center | Hackensack | $91.47 | $54.05 – $406.00 |
| Ocean University Medical Center | Brick | $91.47 | $60.00 – $525.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $91.47 | $60.00 – $576.00 |
| Jersey Shore University Medical Center | Neptune City | $91.47 | $73.18 – $326.00 |
| Palisades Medical Center | North Bergen | $91.47 | $91.47 – $769.00 |