Treatment of rectal prolapse at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$1,010.01
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.
$2,101.00
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.
$0.01 with CIGNA vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| CIGNA | HMO | $0.01 | ↓ -100% |
| CIGNA | PPO | $0.01 | ↓ -100% |
| KARNA | MEDICARE ADVANTAGE | $87.74 | ↓ -91% |
| AETNA | MANAGED MEDICAID | $279.43 | ↓ -72% |
| CLOVER | MEDICARE ADVANTAGE | $378.18 | ↓ -63% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $434.91 | ↓ -57% |
| AMERIHEALTH | LOCAL HMO | $606.70 | ↓ -40% |
| AMERIHEALTH | REGIONAL HMO | $677.90 | ↓ -33% |
| WELLCARE | MANAGED MEDICAID | $1,010.01 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,010.01 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,010.01 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,010.01 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,060.51 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,080.71 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $1,100.91 | ↑ +9% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $1,212.01 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $1,575.75 | ↑ +56% |
| HORIZON | OMNIA | $1,605.16 | ↑ +59% |
| AETNA | ASA | $1,645.08 | ↑ +63% |
| CIGNA | BH | $1,680.80 | ↑ +66% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,785.85 | ↑ +77% |
| QUALCARE | PPO | $1,848.88 | ↑ +83% |
| QUALCARE | HMO | $1,848.88 | ↑ +83% |
| HORIZON | SHP | $1,960.23 | ↑ +94% |
| HORIZON | HMO | $1,979.14 | ↑ +96% |
| HORIZON | INDEMNITY | $2,006.46 | ↑ +99% |
| HORIZON | PPO | $2,029.57 | ↑ +101% |
| HORIZON | MANAGED MEDICAID | $2,438.00 | ↑ +141% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↑ +189% |
| OXFORD | ALL PRODUCTS | $4,030.00 | ↑ +299% |
| UNITED HEALTHCARE | HMO | $5,003.00 | ↑ +395% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↑ +431% |
| HORIZON | WORKERS COMP | $6,415.00 | ↑ +535% |
| HORIZON | PIP | $6,602.00 | ↑ +554% |
| AETNA | HMO | $8,419.00 | ↑ +734% |
| AETNA | PPO | $8,419.00 | ↑ +734% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +883% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Treatment of rectal prolapse at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $84.68 – $1,992.78 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $44.19 – $2,045.74 |
| Community Medical Center | Toms River | $3,786.00 | $45.25 – $1,982.82 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $43.66 – $2,035.51 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $80.13 – $2,045.74 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $47.92 – $2,136.62 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $87.31 – $2,008.19 |
| Bayshore Medical Center | Holmdel | $1,009.14 | $1,009.14 – $1,210.96 |