X-ray knee ap standing 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.
$413.00
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.
$36.37 with UNITED HEALTHCARE vs $398.96 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $36.37 | ↓ -63% |
| AMERIHEALTH | LOCAL HMO | $53.71 | ↓ -45% |
| AMERIHEALTH | REGIONAL HMO | $54.15 | ↓ -44% |
| AETNA | MANAGED MEDICAID | $54.93 | ↓ -44% |
| HORIZON | MANAGED MEDICAID | $58.03 | ↓ -41% |
| CLOVER | MEDICARE ADVANTAGE | $74.34 | ↓ -24% |
| AETNA | HMO | $75.69 | ↓ -22% |
| AETNA | PPO | $75.69 | ↓ -22% |
| KARNA | MEDICARE ADVANTAGE | $77.74 | ↓ -20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $85.49 | ↓ -12% |
| WELLCARE | MEDICARE ADVANTAGE | $97.54 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $97.54 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.54 | ↑ +0% |
| VACCN | ALL PRODUCTS | $97.54 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $102.42 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $104.37 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $106.32 | ↑ +9% |
| CIGNA | PPO | $115.88 | ↑ +19% |
| CIGNA | HMO | $115.88 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $117.05 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $219.04 | ↑ +125% |
| UNITED HEALTHCARE | HMO | $219.04 | ↑ +125% |
| QUALCARE | WORKERS COMP | $227.98 | ↑ +134% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $247.80 | ↑ +154% |
| QUALCARE | PPO | $297.77 | ↑ +205% |
| QUALCARE | HMO | $297.77 | ↑ +205% |
| BERGEN RISK | ALL PRODUCTS | $309.75 | ↑ +218% |
| HORIZON | OMNIA | $315.53 | ↑ +223% |
| HORIZON | PIP | $319.66 | ↑ +228% |
| HORIZON | WORKERS COMP | $321.89 | ↑ +230% |
| AETNA | ASA | $323.38 | ↑ +232% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $330.40 | ↑ +239% |
| CIGNA | BH | $330.40 | ↑ +239% |
| HORIZON | INDEMNITY | $347.04 | ↑ +256% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $351.05 | ↑ +260% |
| HORIZON | SHP | $385.33 | ↑ +295% |
| HORIZON | HMO | $389.05 | ↑ +299% |
| HORIZON | PPO | $398.96 | ↑ +309% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray knee ap standing bilateral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $83.71 | $20.89 – $192.46 |
| Cooperman Barnabas Medical Center | Livingston | $94.50 | $37.76 – $197.58 |
| Community Medical Center | Toms River | $92.50 | $37.76 – $191.50 |
| Clara Maass Medical Center | Belleville | $72.20 | $37.83 – $196.59 |
| Newark Beth Israel Medical Center | Newark | $92.90 | $21.50 – $197.58 |
| Jersey City Medical Center | Jersey City | $92.67 | $27.03 – $206.34 |
| Bayshore Medical Center | Holmdel | $97.46 | $36.37 – $219.04 |
| Hackensack University Medical Center | Hackensack | $103.69 | $38.34 – $250.18 |