Surgical pathology level 4 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.
$1,519.00
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.
$28.60 with AETNA vs $209.17 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 | $28.60 | ↓ -52% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $44.51 | ↓ -25% |
| 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% |
| OXFORD | ALL PRODUCTS | $102.13 | ↑ +73% |
| UNITED HEALTHCARE | HMO | $102.13 | ↑ +73% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $115.86 | ↑ +96% |
| KARNA | MEDICARE ADVANTAGE | $136.60 | ↑ +131% |
| QUALCARE | WORKERS COMP | $142.98 | ↑ +142% |
| AETNA | HMO | $147.92 | ↑ +150% |
| AETNA | PPO | $147.92 | ↑ +150% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $161.25 | ↑ +172% |
| BERGEN RISK | ALL PRODUCTS | $161.25 | ↑ +172% |
| HORIZON | OMNIA | $164.26 | ↑ +178% |
| HORIZON | PIP | $166.41 | ↑ +181% |
| HORIZON | WORKERS COMP | $167.57 | ↑ +183% |
| AETNA | ASA | $168.35 | ↑ +184% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $172.00 | ↑ +191% |
| CIGNA | BH | $172.00 | ↑ +191% |
| HORIZON | INDEMNITY | $180.66 | ↑ +205% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $182.75 | ↑ +209% |
| AMERIHEALTH | LOCAL HMO | $186.08 | ↑ +214% |
| QUALCARE | HMO | $195.22 | ↑ +230% |
| QUALCARE | PPO | $195.22 | ↑ +230% |
| HORIZON | SHP | $200.60 | ↑ +239% |
| HORIZON | HMO | $202.53 | ↑ +242% |
| CIGNA | PPO | $205.60 | ↑ +247% |
| CIGNA | HMO | $205.60 | ↑ +247% |
| HORIZON | PPO | $207.69 | ↑ +251% |
| AMERIHEALTH | REGIONAL HMO | $209.17 | ↑ +253% |
| 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 4 gross & microscopic examination at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $80.52 | $23.57 – $182.60 |
| Cooperman Barnabas Medical Center | Livingston | $175.24 | $23.57 – $142.71 |
| Community Medical Center | Toms River | $88.97 | $23.57 – $142.71 |
| Clara Maass Medical Center | Belleville | $162.89 | $23.57 – $142.71 |
| Newark Beth Israel Medical Center | Newark | $172.26 | $23.57 – $142.71 |
| Jersey City Medical Center | Jersey City | $89.14 | $23.57 – $142.71 |
| Monmouth Medical Center | Long Branch | $93.86 | $23.57 – $142.71 |
| Bayshore Medical Center | Holmdel | $59.14 | $59.14 – $102.13 |