Valvuloplasty pulmonary at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$12,563.31
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.
$16,513.00
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.
$1,821.71 with KARNA vs $23,041.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $1,821.71 | ↓ -85% |
| AETNA | MANAGED MEDICAID | $2,196.23 | ↓ -83% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -81% |
| HORIZON | MANAGED MEDICAID | $2,438.00 | ↓ -81% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↓ -77% |
| CLOVER | MEDICARE ADVANTAGE | $2,972.34 | ↓ -76% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,418.19 | ↓ -73% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↓ -57% |
| HORIZON | WORKERS COMP | $6,415.00 | ↓ -49% |
| HORIZON | PIP | $6,602.00 | ↓ -47% |
| AMERIHEALTH | LOCAL HMO | $6,795.04 | ↓ -46% |
| HORIZON | OMNIA | $7,185.00 | ↓ -43% |
| AMERIHEALTH | REGIONAL HMO | $7,592.48 | ↓ -40% |
| HORIZON | SHP | $8,229.00 | ↓ -34% |
| AETNA | PPO | $8,419.00 | ↓ -33% |
| AETNA | HMO | $8,419.00 | ↓ -33% |
| QUALCARE | HMO | $8,762.00 | ↓ -30% |
| HORIZON | HMO | $8,876.00 | ↓ -29% |
| HORIZON | INDEMNITY | $8,992.00 | ↓ -28% |
| HORIZON | PPO | $9,102.00 | ↓ -28% |
| QUALCARE | PPO | $9,347.00 | ↓ -26% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↓ -21% |
| BERGEN RISK | ALL PRODUCTS | $12,384.75 | ↓ -1% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $12,563.31 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $12,563.31 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $12,563.31 | ↑ +0% |
| VACCN | ALL PRODUCTS | $12,563.31 | ↑ +0% |
| AETNA | ASA | $12,929.68 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $13,191.48 | ↑ +5% |
| CIGNA | BH | $13,210.40 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $13,442.74 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $13,694.01 | ↑ +9% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $14,036.05 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $15,075.97 | ↑ +20% |
| CIGNA | PPO | $15,791.38 | ↑ +26% |
| CIGNA | HMO | $15,791.38 | ↑ +26% |
| OXFORD | ALL PRODUCTS | $18,226.00 | ↑ +45% |
| UNITED HEALTHCARE | HMO | $23,041.00 | ↑ +83% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Valvuloplasty pulmonary at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $2,322.41 | $543.44 – $24,787.76 |
| Cooperman Barnabas Medical Center | Livingston | $3,646.79 | $721.60 – $25,446.42 |
| Clara Maass Medical Center | Belleville | $2,922.23 | $721.60 – $25,319.19 |
| Newark Beth Israel Medical Center | Newark | $3,584.84 | $559.42 – $25,446.42 |
| Bayshore Medical Center | Holmdel | $12,552.42 | $12,552.42 – $15,062.91 |
| Hackensack University Medical Center | Hackensack | $13,355.34 | $1,821.71 – $14,023.10 |
| Ocean University Medical Center | Brick | $12,393.88 | $1,775.85 – $17,039.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $12,563.31 | $880.00 – $17,039.00 |