X-ray exam of tear duct at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$267.78
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.
$560.00
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.
$59.72 with HORIZON vs $623.08 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 | $59.72 | ↓ -78% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $71.75 | ↓ -73% |
| AETNA | MANAGED MEDICAID | $74.48 | ↓ -72% |
| CLOVER | MEDICARE ADVANTAGE | $100.80 | ↓ -62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $115.92 | ↓ -57% |
| KARNA | MEDICARE ADVANTAGE | $160.53 | ↓ -40% |
| VACCN | ALL PRODUCTS | $267.78 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $267.78 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $267.78 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $267.78 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $281.17 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $286.53 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $291.88 | ↑ +9% |
| QUALCARE | WORKERS COMP | $309.12 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $321.34 | ↑ +20% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $336.00 | ↑ +25% |
| QUALCARE | HMO | $403.76 | ↑ +51% |
| QUALCARE | PPO | $403.76 | ↑ +51% |
| BERGEN RISK | ALL PRODUCTS | $420.00 | ↑ +57% |
| HORIZON | OMNIA | $427.84 | ↑ +60% |
| HORIZON | PIP | $433.44 | ↑ +62% |
| HORIZON | WORKERS COMP | $436.46 | ↑ +63% |
| AETNA | ASA | $438.48 | ↑ +64% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $448.00 | ↑ +67% |
| CIGNA | BH | $448.00 | ↑ +67% |
| HORIZON | INDEMNITY | $470.57 | ↑ +76% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $476.00 | ↑ +78% |
| AMERIHEALTH | LOCAL HMO | $484.68 | ↑ +81% |
| AETNA | PPO | $504.00 | ↑ +88% |
| AETNA | HMO | $504.00 | ↑ +88% |
| HORIZON | SHP | $522.48 | ↑ +95% |
| HORIZON | HMO | $527.52 | ↑ +97% |
| CIGNA | PPO | $535.53 | ↑ +100% |
| CIGNA | HMO | $535.53 | ↑ +100% |
| HORIZON | PPO | $540.96 | ↑ +102% |
| AMERIHEALTH | REGIONAL HMO | $544.82 | ↑ +103% |
| OXFORD | ALL PRODUCTS | $623.08 | ↑ +133% |
| UNITED HEALTHCARE | HMO | $623.08 | ↑ +133% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of tear duct at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $267.55 | $71.75 – $623.08 |
| Hackensack University Medical Center | Hackensack | $284.66 | $39.46 – $711.68 |
| Ocean University Medical Center | Brick | $264.17 | $71.75 – $264.17 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $267.78 | $160.53 – $659.90 |
| Jersey Shore University Medical Center | Neptune City | $267.55 | $71.75 – $291.63 |
| Palisades Medical Center | North Bergen | $284.66 | $43.53 – $623.08 |
| Riverview Medical Center | Red Bank | $267.55 | $37.16 – $623.08 |
| Southern Ocean Medical Center | Manahawkin | $264.17 | $71.75 – $287.95 |