Ultrasound joint complete left 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.
$715.00
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.
$95.10 with AETNA vs $690.69 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 | $95.10 | ↓ -19% |
| KARNA | MEDICARE ADVANTAGE | $99.97 | ↓ -15% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.81 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.81 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.70 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $126.05 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $128.41 | ↑ +9% |
| CLOVER | MEDICARE ADVANTAGE | $128.70 | ↑ +9% |
| CIGNA | PPO | $129.46 | ↑ +10% |
| CIGNA | HMO | $129.46 | ↑ +10% |
| UNITED HEALTHCARE | DSNP | $141.37 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $148.01 | ↑ +26% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $163.43 | ↑ +39% |
| AMERIHEALTH | LOCAL HMO | $165.09 | ↑ +40% |
| AMERIHEALTH | REGIONAL HMO | $166.45 | ↑ +41% |
| AETNA | PPO | $245.35 | ↑ +108% |
| AETNA | HMO | $245.35 | ↑ +108% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +150% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +150% |
| QUALCARE | WORKERS COMP | $394.68 | ↑ +235% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $429.00 | ↑ +264% |
| QUALCARE | PPO | $515.52 | ↑ +338% |
| QUALCARE | HMO | $515.52 | ↑ +338% |
| BERGEN RISK | ALL PRODUCTS | $536.25 | ↑ +355% |
| HORIZON | OMNIA | $546.26 | ↑ +364% |
| HORIZON | PIP | $553.41 | ↑ +370% |
| HORIZON | WORKERS COMP | $557.27 | ↑ +373% |
| AETNA | ASA | $559.85 | ↑ +375% |
| CIGNA | BH | $572.00 | ↑ +386% |
| HORIZON | INDEMNITY | $600.81 | ↑ +410% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $607.75 | ↑ +416% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $643.50 | ↑ +446% |
| HORIZON | SHP | $667.10 | ↑ +466% |
| HORIZON | HMO | $673.53 | ↑ +472% |
| HORIZON | PPO | $690.69 | ↑ +486% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound joint complete left at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $272.00 | $51.04 – $51.04 |
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $295.04 |
| Hackensack University Medical Center | Hackensack | $125.23 | $75.88 – $337.00 |
| Ocean University Medical Center | Brick | $116.22 | $96.52 – $295.04 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $99.97 – $312.47 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $96.52 – $334.81 |
| Palisades Medical Center | North Bergen | $125.23 | $83.71 – $295.04 |
| Riverview Medical Center | Red Bank | $117.70 | $96.52 – $295.04 |