X-ray exam of jaw joint 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.
$440.00
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.
$33.10 with HORIZON vs $425.04 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 | $33.10 | ↓ -66% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $36.37 | ↓ -63% |
| AMERIHEALTH | LOCAL HMO | $57.68 | ↓ -41% |
| AMERIHEALTH | REGIONAL HMO | $58.16 | ↓ -40% |
| AETNA | MANAGED MEDICAID | $58.52 | ↓ -40% |
| AETNA | HMO | $59.73 | ↓ -39% |
| AETNA | PPO | $59.73 | ↓ -39% |
| KARNA | MEDICARE ADVANTAGE | $67.10 | ↓ -31% |
| CLOVER | MEDICARE ADVANTAGE | $79.20 | ↓ -19% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $91.08 | ↓ -7% |
| CIGNA | PPO | $92.43 | ↓ -5% |
| CIGNA | HMO | $92.43 | ↓ -5% |
| 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% |
| UNITED HEALTHCARE | HMO | $219.04 | ↑ +125% |
| OXFORD | ALL PRODUCTS | $219.04 | ↑ +125% |
| QUALCARE | WORKERS COMP | $242.88 | ↑ +149% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $264.00 | ↑ +171% |
| QUALCARE | PPO | $317.24 | ↑ +225% |
| QUALCARE | HMO | $317.24 | ↑ +225% |
| BERGEN RISK | ALL PRODUCTS | $330.00 | ↑ +238% |
| HORIZON | OMNIA | $336.16 | ↑ +245% |
| HORIZON | PIP | $340.56 | ↑ +249% |
| HORIZON | WORKERS COMP | $342.94 | ↑ +252% |
| AETNA | ASA | $344.52 | ↑ +253% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $352.00 | ↑ +261% |
| CIGNA | BH | $352.00 | ↑ +261% |
| HORIZON | INDEMNITY | $369.73 | ↑ +279% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $374.00 | ↑ +283% |
| HORIZON | SHP | $410.52 | ↑ +321% |
| HORIZON | HMO | $414.48 | ↑ +325% |
| HORIZON | PPO | $425.04 | ↑ +336% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of jaw joint at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $274.60 | $18.05 – $192.46 |
| Cooperman Barnabas Medical Center | Livingston | $309.37 | $24.12 – $197.58 |
| Community Medical Center | Toms River | $301.55 | $24.12 – $191.50 |
| Clara Maass Medical Center | Belleville | $290.19 | $24.12 – $196.59 |
| Newark Beth Israel Medical Center | Newark | $303.70 | $18.59 – $197.58 |
| Jersey City Medical Center | Jersey City | $302.34 | $23.36 – $206.34 |
| Monmouth Medical Center | Long Branch | $318.57 | $24.12 – $193.95 |
| Bayshore Medical Center | Holmdel | $97.46 | $36.37 – $219.04 |