Ultrasound breast unilateral limited (both sides) at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$97.54
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.
$845.00
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.
$97.54 with WELLCARE vs $816.27 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 |
|---|---|---|---|
| WELLCARE | MANAGED MEDICAID | $97.54 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.54 | ↑ +0% |
| VACCN | ALL PRODUCTS | $97.54 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $97.54 | ↑ +0% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $102.19 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $102.42 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $104.37 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $106.32 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $112.39 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $117.05 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $135.26 | ↑ +39% |
| AMERIHEALTH | REGIONAL HMO | $136.37 | ↑ +40% |
| CLOVER | MEDICARE ADVANTAGE | $152.10 | ↑ +56% |
| AETNA | PPO | $153.53 | ↑ +57% |
| AETNA | HMO | $153.53 | ↑ +57% |
| KARNA | MEDICARE ADVANTAGE | $163.08 | ↑ +67% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $174.92 | ↑ +79% |
| CIGNA | HMO | $197.39 | ↑ +102% |
| CIGNA | PPO | $197.39 | ↑ +102% |
| UNITED HEALTHCARE | HMO | $219.04 | ↑ +125% |
| OXFORD | ALL PRODUCTS | $219.04 | ↑ +125% |
| QUALCARE | WORKERS COMP | $466.44 | ↑ +378% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $507.00 | ↑ +420% |
| QUALCARE | PPO | $609.25 | ↑ +525% |
| QUALCARE | HMO | $609.25 | ↑ +525% |
| BERGEN RISK | ALL PRODUCTS | $633.75 | ↑ +550% |
| HORIZON | OMNIA | $645.58 | ↑ +562% |
| HORIZON | PIP | $654.03 | ↑ +571% |
| HORIZON | WORKERS COMP | $658.59 | ↑ +575% |
| AETNA | ASA | $661.64 | ↑ +578% |
| CIGNA | BH | $676.00 | ↑ +593% |
| HORIZON | INDEMNITY | $710.05 | ↑ +628% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $718.25 | ↑ +636% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $760.50 | ↑ +680% |
| HORIZON | SHP | $788.39 | ↑ +708% |
| HORIZON | HMO | $795.99 | ↑ +716% |
| HORIZON | PPO | $816.27 | ↑ +737% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound breast unilateral limited (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $97.46 | $97.46 – $219.04 |
| Hackensack University Medical Center | Hackensack | $103.69 | $58.78 – $250.18 |
| Ocean University Medical Center | Brick | $96.23 | $88.05 – $219.04 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $97.54 | $88.05 – $219.04 |
| Jersey Shore University Medical Center | Neptune City | $97.46 | $97.46 – $248.57 |
| Palisades Medical Center | North Bergen | $103.69 | $64.85 – $219.04 |
| Riverview Medical Center | Red Bank | $97.46 | $97.46 – $219.04 |
| Southern Ocean Medical Center | Manahawkin | $96.23 | $96.23 – $219.04 |