Treat lower leg fracture at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$7,913.97
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.
$13,625.00
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.
$1,102.00 with HORIZON vs $13,161.75 with HORIZON — 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 | $1,102.00 | ↓ -86% |
| AETNA | MANAGED MEDICAID | $1,812.13 | ↓ -77% |
| KARNA | MEDICARE ADVANTAGE | $1,860.46 | ↓ -76% |
| CLOVER | MEDICARE ADVANTAGE | $2,452.50 | ↓ -69% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,820.38 | ↓ -64% |
| AMERIHEALTH | LOCAL HMO | $3,154.84 | ↓ -60% |
| AMERIHEALTH | REGIONAL HMO | $3,525.08 | ↓ -55% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↓ -32% |
| VACCN | ALL PRODUCTS | $7,913.97 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $7,913.97 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $7,913.97 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $7,913.97 | ↑ +0% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $8,025.13 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $8,309.67 | ↑ +5% |
| OXFORD | ALL PRODUCTS | $8,398.45 | ↑ +6% |
| AMERIGROUP | MEDICARE ADVANTAGE | $8,467.94 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $8,626.22 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $9,496.76 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $10,218.75 | ↑ +29% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $10,218.75 | ↑ +29% |
| HORIZON | OMNIA | $10,409.50 | ↑ +32% |
| HORIZON | PIP | $10,545.75 | ↑ +33% |
| HORIZON | WORKERS COMP | $10,619.33 | ↑ +34% |
| AETNA | ASA | $10,668.38 | ↑ +35% |
| CIGNA | BH | $10,900.00 | ↑ +38% |
| UNITED HEALTHCARE | HMO | $11,094.84 | ↑ +40% |
| HORIZON | INDEMNITY | $11,449.09 | ↑ +45% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $11,581.25 | ↑ +46% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $12,262.50 | ↑ +55% |
| AETNA | PPO | $12,262.50 | ↑ +55% |
| AETNA | HMO | $12,262.50 | ↑ +55% |
| QUALCARE | PPO | $12,371.50 | ↑ +56% |
| QUALCARE | HMO | $12,371.50 | ↑ +56% |
| HORIZON | SHP | $12,712.13 | ↑ +61% |
| HORIZON | HMO | $12,834.75 | ↑ +62% |
| CIGNA | PPO | $13,029.59 | ↑ +65% |
| CIGNA | HMO | $13,029.59 | ↑ +65% |
| HORIZON | PPO | $13,161.75 | ↑ +66% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Treat lower leg fracture at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $441.65 – $15,614.48 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $580.85 – $16,029.38 |
| Community Medical Center | Toms River | $3,786.00 | $594.85 – $15,536.41 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $573.85 – $15,949.23 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $454.64 – $16,029.38 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $571.55 – $16,741.65 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,147.70 – $15,735.15 |
| Bayshore Medical Center | Holmdel | $7,907.11 | $7,907.11 – $9,488.53 |