X-ray acromioclavicular joints without or w/weighted distraction bilateral at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$97.54
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.
$656.00
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.
$40.50 with HORIZON vs $633.70 with HORIZON — 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 | $40.50 | ↓ -58% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $50.46 | ↓ -48% |
| KARNA | MEDICARE ADVANTAGE | $55.93 | ↓ -43% |
| CIGNA | PPO | $68.95 | ↓ -29% |
| CIGNA | HMO | $68.95 | ↓ -29% |
| AMERIHEALTH | LOCAL HMO | $69.62 | ↓ -29% |
| AETNA | HMO | $69.71 | ↓ -29% |
| AETNA | PPO | $69.71 | ↓ -29% |
| AMERIHEALTH | REGIONAL HMO | $70.19 | ↓ -28% |
| AETNA | MANAGED MEDICAID | $87.25 | ↓ -11% |
| WELLCARE | MEDICARE ADVANTAGE | $97.54 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $97.54 | ↑ +0% |
| VACCN | ALL PRODUCTS | $97.54 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.54 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $102.42 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $104.37 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $106.32 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $117.05 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $118.08 | ↑ +21% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $135.79 | ↑ +39% |
| OXFORD | ALL PRODUCTS | $219.04 | ↑ +125% |
| UNITED HEALTHCARE | HMO | $219.04 | ↑ +125% |
| QUALCARE | WORKERS COMP | $362.11 | ↑ +271% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $393.60 | ↑ +304% |
| QUALCARE | PPO | $472.98 | ↑ +385% |
| QUALCARE | HMO | $472.98 | ↑ +385% |
| BERGEN RISK | ALL PRODUCTS | $492.00 | ↑ +404% |
| HORIZON | OMNIA | $501.18 | ↑ +414% |
| HORIZON | PIP | $507.74 | ↑ +421% |
| HORIZON | WORKERS COMP | $511.29 | ↑ +424% |
| AETNA | ASA | $513.65 | ↑ +427% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $524.80 | ↑ +438% |
| CIGNA | BH | $524.80 | ↑ +438% |
| HORIZON | INDEMNITY | $551.24 | ↑ +465% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $557.60 | ↑ +472% |
| HORIZON | SHP | $612.05 | ↑ +527% |
| HORIZON | HMO | $617.95 | ↑ +534% |
| HORIZON | PPO | $633.70 | ↑ +550% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray acromioclavicular joints without or w/weighted distraction bilateral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $136.83 | $15.08 – $192.46 |
| Cooperman Barnabas Medical Center | Livingston | $128.62 | $29.52 – $197.58 |
| Community Medical Center | Toms River | $151.19 | $29.52 – $191.50 |
| Clara Maass Medical Center | Belleville | $91.49 | $29.52 – $196.59 |
| Newark Beth Israel Medical Center | Newark | $126.43 | $15.52 – $197.58 |
| Jersey City Medical Center | Jersey City | $151.48 | $19.51 – $206.34 |
| Monmouth Medical Center | Long Branch | $159.50 | $29.52 – $193.95 |
| Bayshore Medical Center | Holmdel | $97.46 | $50.46 – $219.04 |