X-ray exam of sinuses 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.
$385.00
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.
$45.00 with HORIZON vs $371.91 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 | $45.00 | ↓ -54% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $46.88 | ↓ -52% |
| AETNA | MANAGED MEDICAID | $51.21 | ↓ -47% |
| AETNA | PPO | $58.74 | ↓ -40% |
| AETNA | HMO | $58.74 | ↓ -40% |
| KARNA | MEDICARE ADVANTAGE | $62.56 | ↓ -36% |
| AMERIHEALTH | LOCAL HMO | $63.65 | ↓ -35% |
| AMERIHEALTH | REGIONAL HMO | $64.17 | ↓ -34% |
| CLOVER | MEDICARE ADVANTAGE | $69.30 | ↓ -29% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $79.70 | ↓ -18% |
| CIGNA | PPO | $85.02 | ↓ -13% |
| CIGNA | HMO | $85.02 | ↓ -13% |
| 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% |
| QUALCARE | WORKERS COMP | $212.52 | ↑ +118% |
| UNITED HEALTHCARE | HMO | $219.04 | ↑ +125% |
| OXFORD | ALL PRODUCTS | $219.04 | ↑ +125% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $231.00 | ↑ +137% |
| QUALCARE | HMO | $277.59 | ↑ +185% |
| QUALCARE | PPO | $277.59 | ↑ +185% |
| BERGEN RISK | ALL PRODUCTS | $288.75 | ↑ +196% |
| HORIZON | OMNIA | $294.14 | ↑ +202% |
| HORIZON | PIP | $297.99 | ↑ +206% |
| HORIZON | WORKERS COMP | $300.07 | ↑ +208% |
| AETNA | ASA | $301.46 | ↑ +209% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $308.00 | ↑ +216% |
| CIGNA | BH | $308.00 | ↑ +216% |
| HORIZON | INDEMNITY | $323.52 | ↑ +232% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $327.25 | ↑ +236% |
| HORIZON | SHP | $359.21 | ↑ +268% |
| HORIZON | HMO | $362.67 | ↑ +272% |
| HORIZON | PPO | $371.91 | ↑ +281% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of sinuses at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $65.69 | $16.84 – $192.46 |
| Community Medical Center | Toms River | $72.59 | $32.80 – $191.50 |
| Clara Maass Medical Center | Belleville | $72.59 | $32.80 – $196.59 |
| Newark Beth Israel Medical Center | Newark | $72.90 | $17.34 – $197.58 |
| Jersey City Medical Center | Jersey City | $72.73 | $21.79 – $206.34 |
| Bayshore Medical Center | Holmdel | $97.46 | $46.88 – $219.04 |
| Hackensack University Medical Center | Hackensack | $103.69 | $29.73 – $250.18 |
| Ocean University Medical Center | Brick | $96.23 | $46.88 – $96.23 |