Surgical pathology level 3 gross & microscopic examination at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$59.19
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.
$363.00
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.
$48.28 with AETNA vs $353.16 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 | $48.28 | ↓ -18% |
| WELLCARE | MEDICARE ADVANTAGE | $59.19 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $59.19 | ↑ +0% |
| VACCN | ALL PRODUCTS | $59.19 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $59.19 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $62.15 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $63.33 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $64.52 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $71.03 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $75.14 | ↑ +27% |
| KARNA | MEDICARE ADVANTAGE | $83.29 | ↑ +41% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $89.55 | ↑ +51% |
| OXFORD | ALL PRODUCTS | $102.13 | ↑ +73% |
| UNITED HEALTHCARE | HMO | $102.13 | ↑ +73% |
| QUALCARE | WORKERS COMP | $241.40 | ↑ +308% |
| AETNA | HMO | $249.74 | ↑ +322% |
| AETNA | PPO | $249.74 | ↑ +322% |
| BERGEN RISK | ALL PRODUCTS | $272.25 | ↑ +360% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $272.25 | ↑ +360% |
| HORIZON | OMNIA | $277.33 | ↑ +369% |
| HORIZON | PIP | $280.96 | ↑ +375% |
| HORIZON | WORKERS COMP | $282.92 | ↑ +378% |
| AETNA | ASA | $284.23 | ↑ +380% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $290.40 | ↑ +391% |
| CIGNA | BH | $290.40 | ↑ +391% |
| HORIZON | INDEMNITY | $305.03 | ↑ +415% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $308.55 | ↑ +421% |
| AMERIHEALTH | LOCAL HMO | $314.18 | ↑ +431% |
| QUALCARE | HMO | $329.60 | ↑ +457% |
| QUALCARE | PPO | $329.60 | ↑ +457% |
| HORIZON | SHP | $338.68 | ↑ +472% |
| HORIZON | HMO | $341.95 | ↑ +478% |
| CIGNA | PPO | $347.14 | ↑ +486% |
| CIGNA | HMO | $347.14 | ↑ +486% |
| HORIZON | PPO | $350.66 | ↑ +492% |
| AMERIHEALTH | REGIONAL HMO | $353.16 | ↑ +497% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 3 gross & microscopic examination at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $64.00 | $23.57 – $128.02 |
| Cooperman Barnabas Medical Center | Livingston | $80.52 | $23.57 – $128.02 |
| Community Medical Center | Toms River | $70.72 | $23.57 – $128.02 |
| Clara Maass Medical Center | Belleville | $85.32 | $23.57 – $128.02 |
| Newark Beth Israel Medical Center | Newark | $79.15 | $23.57 – $128.02 |
| Jersey City Medical Center | Jersey City | $70.85 | $23.57 – $128.02 |
| Monmouth Medical Center | Long Branch | $74.61 | $23.57 – $128.02 |
| Bayshore Medical Center | Holmdel | $59.14 | $59.14 – $102.13 |