Unlisted orl service/px at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$27.13
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.
$101.00
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.
$13.43 with AETNA vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 | $13.43 | ↓ -50% |
| CLOVER | MEDICARE ADVANTAGE | $18.18 | ↓ -33% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $20.91 | ↓ -23% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $27.13 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $27.13 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $27.13 | ↑ +0% |
| VACCN | ALL PRODUCTS | $27.13 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $28.49 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $29.03 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $29.57 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $32.56 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $59.49 | ↑ +119% |
| OXFORD | ALL PRODUCTS | $61.18 | ↑ +126% |
| BERGEN RISK | ALL PRODUCTS | $75.75 | ↑ +179% |
| HORIZON | OMNIA | $77.16 | ↑ +184% |
| AETNA | ASA | $79.08 | ↑ +191% |
| CIGNA | BH | $80.80 | ↑ +198% |
| UNITED HEALTHCARE | HMO | $82.24 | ↑ +203% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $85.85 | ↑ +216% |
| AMERIHEALTH | LOCAL HMO | $87.42 | ↑ +222% |
| QUALCARE | PPO | $88.88 | ↑ +228% |
| QUALCARE | HMO | $88.88 | ↑ +228% |
| HORIZON | SHP | $94.23 | ↑ +247% |
| HORIZON | HMO | $95.14 | ↑ +251% |
| HORIZON | INDEMNITY | $96.46 | ↑ +256% |
| CIGNA | HMO | $96.59 | ↑ +256% |
| CIGNA | PPO | $96.59 | ↑ +256% |
| HORIZON | PPO | $97.57 | ↑ +260% |
| AMERIHEALTH | REGIONAL HMO | $98.26 | ↑ +262% |
| HORIZON | MANAGED MEDICAID | $2,438.00 | ↑ +8886% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↑ +10645% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↑ +19679% |
| HORIZON | WORKERS COMP | $6,415.00 | ↑ +23545% |
| HORIZON | PIP | $6,602.00 | ↑ +24235% |
| AETNA | HMO | $8,419.00 | ↑ +30932% |
| AETNA | PPO | $8,419.00 | ↑ +30932% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +36513% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted orl service/px at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $27.11 | $27.11 – $32.53 |
| Hackensack University Medical Center | Hackensack | $28.84 | $23.07 – $34.43 |
| Ocean University Medical Center | Brick | $26.76 | $24.49 – $32.12 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $27.13 | $24.49 – $27.13 |
| Jersey Shore University Medical Center | Neptune City | $27.11 | $27.11 – $32.53 |
| Palisades Medical Center | North Bergen | $28.84 | $28.84 – $31.44 |
| Riverview Medical Center | Red Bank | $27.11 | $27.11 – $32.53 |
| Southern Ocean Medical Center | Manahawkin | $26.76 | $26.76 – $32.12 |