Tpmt gene com vrnts at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$174.81
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.
?
What you pay up front if you don't use insurance.
$928.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$61.71 with AETNA vs $801.04 with CIGNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $61.71 | ↓ -65% |
| CLOVER | MEDICARE ADVANTAGE | $174.81 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $174.81 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $174.81 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $174.81 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $174.81 | ↑ +0% |
| VACCN | ALL PRODUCTS | $174.81 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $183.55 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $187.05 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $190.54 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $209.77 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $232.50 | ↑ +33% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $274.63 | ↑ +57% |
| QUALCARE | WORKERS COMP | $308.56 | ↑ +77% |
| AETNA | PPO | $319.23 | ↑ +83% |
| AETNA | HMO | $319.23 | ↑ +83% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $348.00 | ↑ +99% |
| BERGEN RISK | ALL PRODUCTS | $348.00 | ↑ +99% |
| HORIZON | OMNIA | $354.50 | ↑ +103% |
| OXFORD | ALL PRODUCTS | $358.80 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $358.80 | ↑ +105% |
| HORIZON | PIP | $359.14 | ↑ +105% |
| HORIZON | WORKERS COMP | $361.64 | ↑ +107% |
| AETNA | ASA | $363.31 | ↑ +108% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $371.20 | ↑ +112% |
| CIGNA | BH | $371.20 | ↑ +112% |
| HORIZON | INDEMNITY | $389.90 | ↑ +123% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $394.40 | ↑ +126% |
| AMERIHEALTH | LOCAL HMO | $401.59 | ↑ +130% |
| QUALCARE | HMO | $421.31 | ↑ +141% |
| QUALCARE | PPO | $421.31 | ↑ +141% |
| HORIZON | SHP | $432.91 | ↑ +148% |
| HORIZON | HMO | $437.09 | ↑ +150% |
| HORIZON | PPO | $448.22 | ↑ +156% |
| AMERIHEALTH | REGIONAL HMO | $451.43 | ↑ +158% |
| CIGNA | HMO | $801.04 | ↑ +358% |
| CIGNA | PPO | $801.04 | ↑ +358% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Tpmt gene com vrnts at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $192.29 | $82.16 – $713.01 |
| Cooperman Barnabas Medical Center | Livingston | $192.29 | $82.16 – $713.01 |
| Community Medical Center | Toms River | $192.29 | $82.16 – $713.01 |
| Clara Maass Medical Center | Belleville | $192.29 | $82.16 – $713.01 |
| Newark Beth Israel Medical Center | Newark | $192.29 | $82.16 – $713.01 |
| Jersey City Medical Center | Jersey City | $192.29 | $82.16 – $713.01 |
| Monmouth Medical Center | Long Branch | $192.29 | $82.16 – $713.01 |
| Bayshore Medical Center | Holmdel | $174.81 | $174.81 – $801.04 |