Unlisted px male genital sys at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$269.43
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.
$1,356.00
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.
$180.35 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 | $180.35 | ↓ -33% |
| CLOVER | MEDICARE ADVANTAGE | $244.08 | ↓ -9% |
| VACCN | ALL PRODUCTS | $269.43 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $269.43 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $269.43 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $269.43 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $280.69 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $282.90 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $288.29 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $293.68 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $323.32 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $606.70 | ↑ +125% |
| AMERIHEALTH | REGIONAL HMO | $677.90 | ↑ +152% |
| BERGEN RISK | ALL PRODUCTS | $1,017.00 | ↑ +277% |
| HORIZON | OMNIA | $1,035.98 | ↑ +285% |
| AETNA | ASA | $1,061.75 | ↑ +294% |
| CIGNA | BH | $1,084.80 | ↑ +303% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,152.60 | ↑ +328% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +341% |
| QUALCARE | PPO | $1,193.28 | ↑ +343% |
| QUALCARE | HMO | $1,193.28 | ↑ +343% |
| CIGNA | HMO | $1,218.91 | ↑ +352% |
| CIGNA | PPO | $1,218.91 | ↑ +352% |
| HORIZON | SHP | $1,265.15 | ↑ +370% |
| HORIZON | HMO | $1,277.35 | ↑ +374% |
| HORIZON | INDEMNITY | $1,294.98 | ↑ +381% |
| HORIZON | PPO | $1,309.90 | ↑ +386% |
| HORIZON | MANAGED MEDICAID | $2,438.00 | ↑ +805% |
| OXFORD | ALL PRODUCTS | $2,761.00 | ↑ +925% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↑ +982% |
| UNITED HEALTHCARE | HMO | $3,392.00 | ↑ +1159% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↑ +1892% |
| HORIZON | WORKERS COMP | $6,415.00 | ↑ +2281% |
| HORIZON | PIP | $6,602.00 | ↑ +2350% |
| AETNA | PPO | $8,419.00 | ↑ +3025% |
| AETNA | HMO | $8,419.00 | ↑ +3025% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +3587% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted px male genital sys at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $265.80 – $531.60 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $272.86 – $545.72 |
| Community Medical Center | Toms River | $3,786.00 | $265.80 – $528.94 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $272.86 – $542.99 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $272.86 – $545.72 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $286.42 – $569.98 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $269.20 – $535.71 |
| Bayshore Medical Center | Holmdel | $269.20 | $269.20 – $323.04 |