Ultrasound hips infant dynamic 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.
$685.00
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.
$91.11 with AETNA vs $661.71 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $91.11 | ↓ -7% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.54 | ↑ +0% |
| VACCN | ALL PRODUCTS | $97.54 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $97.54 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $97.54 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $102.42 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $104.37 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $106.32 | ↑ +9% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $115.03 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $117.05 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $123.30 | ↑ +26% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $141.80 | ↑ +45% |
| AETNA | PPO | $166.50 | ↑ +71% |
| AETNA | HMO | $166.50 | ↑ +71% |
| AMERIHEALTH | LOCAL HMO | $204.88 | ↑ +110% |
| AMERIHEALTH | REGIONAL HMO | $206.56 | ↑ +112% |
| UNITED HEALTHCARE | HMO | $219.04 | ↑ +125% |
| OXFORD | ALL PRODUCTS | $219.04 | ↑ +125% |
| KARNA | MEDICARE ADVANTAGE | $262.53 | ↑ +169% |
| QUALCARE | WORKERS COMP | $378.12 | ↑ +288% |
| CIGNA | HMO | $388.80 | ↑ +299% |
| CIGNA | PPO | $388.80 | ↑ +299% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $411.00 | ↑ +321% |
| QUALCARE | PPO | $493.89 | ↑ +406% |
| QUALCARE | HMO | $493.89 | ↑ +406% |
| BERGEN RISK | ALL PRODUCTS | $513.75 | ↑ +427% |
| HORIZON | OMNIA | $523.34 | ↑ +437% |
| HORIZON | PIP | $530.19 | ↑ +444% |
| HORIZON | WORKERS COMP | $533.89 | ↑ +447% |
| AETNA | ASA | $536.36 | ↑ +450% |
| CIGNA | BH | $548.00 | ↑ +462% |
| HORIZON | INDEMNITY | $575.61 | ↑ +490% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $582.25 | ↑ +497% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $616.50 | ↑ +532% |
| HORIZON | SHP | $639.11 | ↑ +555% |
| HORIZON | HMO | $645.27 | ↑ +562% |
| HORIZON | PPO | $661.71 | ↑ +578% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound hips infant dynamic at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $198.21 | $63.96 – $525.85 |
| Cooperman Barnabas Medical Center | Livingston | $211.68 | $60.68 – $525.85 |
| Community Medical Center | Toms River | $219.01 | $60.68 – $525.85 |
| Clara Maass Medical Center | Belleville | $154.14 | $60.68 – $525.85 |
| Newark Beth Israel Medical Center | Newark | $208.09 | $60.68 – $525.85 |
| Jersey City Medical Center | Jersey City | $219.43 | $60.68 – $525.85 |
| Monmouth Medical Center | Long Branch | $231.05 | $60.68 – $525.85 |
| Bayshore Medical Center | Holmdel | $97.46 | $97.46 – $388.80 |