Ultrasound spinal canal and contents 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.
$613.00
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.
$81.53 with AETNA vs $592.16 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 | $81.53 | ↓ -31% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $106.67 | ↓ -9% |
| CLOVER | MEDICARE ADVANTAGE | $110.34 | ↓ -6% |
| WELLCARE | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.81 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.81 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.70 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $126.05 | ↑ +7% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $126.89 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $128.41 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $141.37 | ↑ +20% |
| AETNA | PPO | $166.50 | ↑ +41% |
| AETNA | HMO | $166.50 | ↑ +41% |
| AMERIHEALTH | LOCAL HMO | $232.72 | ↑ +98% |
| AMERIHEALTH | REGIONAL HMO | $234.63 | ↑ +99% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +150% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +150% |
| CIGNA | HMO | $309.76 | ↑ +163% |
| CIGNA | PPO | $309.76 | ↑ +163% |
| KARNA | MEDICARE ADVANTAGE | $332.67 | ↑ +182% |
| QUALCARE | WORKERS COMP | $338.38 | ↑ +187% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $367.80 | ↑ +212% |
| QUALCARE | PPO | $441.97 | ↑ +275% |
| QUALCARE | HMO | $441.97 | ↑ +275% |
| BERGEN RISK | ALL PRODUCTS | $459.75 | ↑ +290% |
| HORIZON | OMNIA | $468.33 | ↑ +298% |
| HORIZON | PIP | $474.46 | ↑ +303% |
| HORIZON | WORKERS COMP | $477.77 | ↑ +306% |
| AETNA | ASA | $479.98 | ↑ +307% |
| CIGNA | BH | $490.40 | ↑ +316% |
| HORIZON | INDEMNITY | $515.10 | ↑ +337% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $521.05 | ↑ +342% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $551.70 | ↑ +368% |
| HORIZON | SHP | $571.93 | ↑ +385% |
| HORIZON | HMO | $577.45 | ↑ +390% |
| HORIZON | PPO | $592.16 | ↑ +403% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound spinal canal and contents at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $171.37 | $87.17 – $581.64 |
| Cooperman Barnabas Medical Center | Livingston | $152.35 | $106.60 – $581.64 |
| Community Medical Center | Toms River | $189.35 | $106.60 – $581.64 |
| Clara Maass Medical Center | Belleville | $143.00 | $106.60 – $581.64 |
| Newark Beth Israel Medical Center | Newark | $149.76 | $89.73 – $581.64 |
| Jersey City Medical Center | Jersey City | $189.72 | $106.60 – $581.64 |
| Monmouth Medical Center | Long Branch | $199.76 | $106.60 – $581.64 |
| Bayshore Medical Center | Holmdel | $117.70 | $106.67 – $309.76 |