Vasc emb/occ w/prs cath at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$19,892.81
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.
$45,626.00
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.
$5,366.00 with QUALCARE vs $44,389.54 with AMERIHEALTH — 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 |
|---|---|---|---|
| QUALCARE | WORKERS COMP | $5,366.00 | ↓ -73% |
| AETNA | MANAGED MEDICAID | $6,068.26 | ↓ -69% |
| HORIZON | WORKERS COMP | $6,415.00 | ↓ -68% |
| HORIZON | OMNIA | $6,440.00 | ↓ -68% |
| HORIZON | PIP | $6,602.00 | ↓ -67% |
| HORIZON | SHP | $7,445.00 | ↓ -63% |
| HORIZON | HMO | $7,956.00 | ↓ -60% |
| HORIZON | INDEMNITY | $8,061.00 | ↓ -59% |
| HORIZON | PPO | $8,159.00 | ↓ -59% |
| CLOVER | MEDICARE ADVANTAGE | $8,212.68 | ↓ -59% |
| AETNA | PPO | $8,419.00 | ↓ -58% |
| AETNA | HMO | $8,419.00 | ↓ -58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $9,444.58 | ↓ -53% |
| WELLCARE | MANAGED MEDICAID | $19,892.81 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $19,892.81 | ↑ +0% |
| VACCN | ALL PRODUCTS | $19,892.81 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $19,892.81 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $20,887.45 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $21,285.31 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $21,683.17 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $23,871.38 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $26,873.71 | ↑ +35% |
| OXFORD | ALL PRODUCTS | $28,123.87 | ↑ +41% |
| BERGEN RISK | ALL PRODUCTS | $34,219.50 | ↑ +72% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $34,219.50 | ↑ +72% |
| AETNA | ASA | $35,725.16 | ↑ +80% |
| CIGNA | BH | $36,500.80 | ↑ +83% |
| UNITED HEALTHCARE | HMO | $37,153.25 | ↑ +87% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $38,782.10 | ↑ +95% |
| AMERIHEALTH | LOCAL HMO | $39,489.30 | ↑ +99% |
| CIGNA | PPO | $41,013.21 | ↑ +106% |
| CIGNA | HMO | $41,013.21 | ↑ +106% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $41,063.40 | ↑ +106% |
| QUALCARE | PPO | $41,428.41 | ↑ +108% |
| QUALCARE | HMO | $41,428.41 | ↑ +108% |
| AMERIHEALTH | REGIONAL HMO | $44,389.54 | ↑ +123% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Vasc emb/occ w/prs cath at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $19,875.58 | $19,875.58 – $23,850.69 |
| Hackensack University Medical Center | Hackensack | $21,146.91 | $16,917.53 – $22,204.26 |
| Ocean University Medical Center | Brick | $19,624.54 | $17,956.72 – $23,549.45 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $19,892.81 | $17,956.72 – $19,892.81 |
| Jersey Shore University Medical Center | Neptune City | $19,875.58 | $19,875.58 – $23,850.69 |
| Palisades Medical Center | North Bergen | $21,146.91 | $21,146.91 – $23,050.13 |
| Riverview Medical Center | Red Bank | $19,875.58 | $19,875.58 – $23,850.69 |
| Southern Ocean Medical Center | Manahawkin | $19,624.54 | $19,624.54 – $23,549.45 |