Ventilator initial day at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$732.38
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.
$2,349.00
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.
$122.78 with HORIZON vs $2,682.00 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $122.78 | ↓ -83% |
| KARNA | MEDICARE ADVANTAGE | $151.75 | ↓ -79% |
| AETNA | MANAGED MEDICAID | $312.42 | ↓ -57% |
| OXFORD | ALL PRODUCTS | $396.00 | ↓ -46% |
| CLOVER | MEDICARE ADVANTAGE | $422.82 | ↓ -42% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $486.24 | ↓ -34% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $732.38 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $732.38 | ↑ +0% |
| VACCN | ALL PRODUCTS | $732.38 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $732.38 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $769.00 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $783.65 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $798.29 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $878.86 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,383.56 | ↑ +89% |
| QUALCARE | WORKERS COMP | $1,562.09 | ↑ +113% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,761.75 | ↑ +141% |
| BERGEN RISK | ALL PRODUCTS | $1,761.75 | ↑ +141% |
| HORIZON | OMNIA | $1,794.64 | ↑ +145% |
| HORIZON | PIP | $1,818.13 | ↑ +148% |
| HORIZON | WORKERS COMP | $1,830.81 | ↑ +150% |
| AETNA | ASA | $1,839.27 | ↑ +151% |
| CIGNA | BH | $1,879.20 | ↑ +157% |
| HORIZON | INDEMNITY | $1,973.86 | ↑ +170% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,996.65 | ↑ +173% |
| AMERIHEALTH | LOCAL HMO | $2,033.06 | ↑ +178% |
| AETNA | PPO | $2,114.10 | ↑ +189% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,114.10 | ↑ +189% |
| AETNA | HMO | $2,114.10 | ↑ +189% |
| QUALCARE | PPO | $2,132.89 | ↑ +191% |
| QUALCARE | HMO | $2,132.89 | ↑ +191% |
| HORIZON | SHP | $2,191.62 | ↑ +199% |
| HORIZON | HMO | $2,212.76 | ↑ +202% |
| CIGNA | HMO | $2,246.35 | ↑ +207% |
| CIGNA | PPO | $2,246.35 | ↑ +207% |
| HORIZON | PPO | $2,269.13 | ↑ +210% |
| AMERIHEALTH | REGIONAL HMO | $2,285.34 | ↑ +212% |
| UNITED HEALTHCARE | HMO | $2,682.00 | ↑ +266% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ventilator initial day at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $598.38 | $45.27 – $1,445.00 |
| Cooperman Barnabas Medical Center | Livingston | $721.51 | $81.52 – $1,483.40 |
| Community Medical Center | Toms River | $661.19 | $83.49 – $1,437.78 |
| Clara Maass Medical Center | Belleville | $566.46 | $80.54 – $1,475.98 |
| Childrens Specialized Hospital | Mountainside | $284.00 | $394.00 – $394.00 |
| Newark Beth Israel Medical Center | Newark | $709.26 | $46.60 – $1,483.40 |
| Jersey City Medical Center | Jersey City | $662.46 | $58.58 – $1,549.31 |
| Monmouth Medical Center | Long Branch | $697.53 | $161.08 – $1,456.18 |