Svc venogram s&i at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$1,720.93
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.
$4,958.00
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.
$225.96 with KARNA vs $4,823.64 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $225.96 | ↓ -87% |
| AETNA | PPO | $230.38 | ↓ -87% |
| AETNA | HMO | $230.38 | ↓ -87% |
| CIGNA | HMO | $261.60 | ↓ -85% |
| CIGNA | PPO | $261.60 | ↓ -85% |
| HORIZON | MANAGED MEDICAID | $468.00 | ↓ -73% |
| AETNA | MANAGED MEDICAID | $659.41 | ↓ -62% |
| CLOVER | MEDICARE ADVANTAGE | $892.44 | ↓ -48% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $943.10 | ↓ -45% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,026.31 | ↓ -40% |
| WELLCARE | MANAGED MEDICAID | $1,720.93 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,720.93 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,720.93 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,720.93 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,806.98 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,841.40 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $1,875.82 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,065.12 | ↑ +20% |
| QUALCARE | WORKERS COMP | $2,736.82 | ↑ +59% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,974.80 | ↑ +73% |
| QUALCARE | HMO | $3,574.72 | ↑ +108% |
| QUALCARE | PPO | $3,574.72 | ↑ +108% |
| BERGEN RISK | ALL PRODUCTS | $3,718.50 | ↑ +116% |
| HORIZON | OMNIA | $3,787.91 | ↑ +120% |
| OXFORD | ALL PRODUCTS | $3,807.12 | ↑ +121% |
| UNITED HEALTHCARE | HMO | $3,807.12 | ↑ +121% |
| HORIZON | PIP | $3,837.49 | ↑ +123% |
| HORIZON | WORKERS COMP | $3,864.27 | ↑ +125% |
| AETNA | ASA | $3,882.11 | ↑ +126% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,966.40 | ↑ +130% |
| CIGNA | BH | $3,966.40 | ↑ +130% |
| HORIZON | INDEMNITY | $4,166.21 | ↑ +142% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,214.30 | ↑ +145% |
| AMERIHEALTH | LOCAL HMO | $4,291.15 | ↑ +149% |
| HORIZON | SHP | $4,625.81 | ↑ +169% |
| HORIZON | HMO | $4,670.44 | ↑ +171% |
| HORIZON | PPO | $4,789.43 | ↑ +178% |
| AMERIHEALTH | REGIONAL HMO | $4,823.64 | ↑ +180% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Svc venogram s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,389.16 | $61.23 – $3,395.44 |
| Cooperman Barnabas Medical Center | Livingston | $1,159.51 | $180.81 – $3,485.68 |
| Community Medical Center | Toms River | $1,534.96 | $165.84 – $3,378.46 |
| Clara Maass Medical Center | Belleville | $733.14 | $180.81 – $3,468.25 |
| Newark Beth Israel Medical Center | Newark | $1,139.81 | $63.03 – $3,485.68 |
| Jersey City Medical Center | Jersey City | $1,537.92 | $79.24 – $3,640.55 |
| Monmouth Medical Center | Long Branch | $1,619.33 | $170.70 – $3,421.69 |
| Bayshore Medical Center | Holmdel | $1,719.44 | $230.38 – $3,807.12 |