Ultrasound chest at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$117.81
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.
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What you pay up front if you don't use insurance.
$787.00
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.
$98.19 with UNITED HEALTHCARE vs $760.24 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $98.19 | ↓ -17% |
| AETNA | MANAGED MEDICAID | $104.67 | ↓ -11% |
| KARNA | MEDICARE ADVANTAGE | $108.49 | ↓ -8% |
| VACCN | ALL PRODUCTS | $117.81 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.81 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.70 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $126.05 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $128.41 | ↑ +9% |
| CIGNA | PPO | $140.57 | ↑ +19% |
| CIGNA | HMO | $140.57 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $141.37 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $141.66 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $155.15 | ↑ +32% |
| AMERIHEALTH | REGIONAL HMO | $156.42 | ↑ +33% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $162.91 | ↑ +38% |
| AETNA | HMO | $173.50 | ↑ +47% |
| AETNA | PPO | $173.50 | ↑ +47% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +150% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +150% |
| QUALCARE | WORKERS COMP | $434.42 | ↑ +269% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $472.20 | ↑ +301% |
| QUALCARE | HMO | $567.43 | ↑ +382% |
| QUALCARE | PPO | $567.43 | ↑ +382% |
| BERGEN RISK | ALL PRODUCTS | $590.25 | ↑ +401% |
| HORIZON | OMNIA | $601.27 | ↑ +410% |
| HORIZON | PIP | $609.14 | ↑ +417% |
| HORIZON | WORKERS COMP | $613.39 | ↑ +421% |
| AETNA | ASA | $616.22 | ↑ +423% |
| CIGNA | BH | $629.60 | ↑ +434% |
| HORIZON | INDEMNITY | $661.32 | ↑ +461% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $668.95 | ↑ +468% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $708.30 | ↑ +501% |
| HORIZON | SHP | $734.27 | ↑ +523% |
| HORIZON | HMO | $741.35 | ↑ +529% |
| HORIZON | PPO | $760.24 | ↑ +545% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound chest at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $154.66 | $29.39 – $251.30 |
| Cooperman Barnabas Medical Center | Livingston | $208.29 | $57.40 – $238.62 |
| Community Medical Center | Toms River | $170.89 | $57.40 – $231.28 |
| Clara Maass Medical Center | Belleville | $81.54 | $57.40 – $237.43 |
| Newark Beth Israel Medical Center | Newark | $204.75 | $30.25 – $238.62 |
| Jersey City Medical Center | Jersey City | $171.22 | $38.03 – $249.21 |
| Monmouth Medical Center | Long Branch | $180.29 | $57.40 – $234.22 |
| Bayshore Medical Center | Holmdel | $117.70 | $98.19 – $295.04 |