X-ray nose to rectum for foreign body child 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.
$310.00
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.
$33.75 with HORIZON vs $299.46 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 | $33.75 | ↓ -65% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $38.52 | ↓ -61% |
| AETNA | MANAGED MEDICAID | $41.23 | ↓ -58% |
| AETNA | HMO | $47.75 | ↓ -51% |
| AETNA | PPO | $47.75 | ↓ -51% |
| CLOVER | MEDICARE ADVANTAGE | $55.80 | ↓ -43% |
| KARNA | MEDICARE ADVANTAGE | $56.59 | ↓ -42% |
| AMERIHEALTH | LOCAL HMO | $57.68 | ↓ -41% |
| AMERIHEALTH | REGIONAL HMO | $58.16 | ↓ -40% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $64.17 | ↓ -34% |
| CIGNA | HMO | $75.12 | ↓ -23% |
| CIGNA | PPO | $75.12 | ↓ -23% |
| VACCN | ALL PRODUCTS | $97.54 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $97.54 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $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 | $171.12 | ↑ +75% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $186.00 | ↑ +91% |
| UNITED HEALTHCARE | HMO | $219.04 | ↑ +125% |
| OXFORD | ALL PRODUCTS | $219.04 | ↑ +125% |
| QUALCARE | PPO | $223.51 | ↑ +129% |
| QUALCARE | HMO | $223.51 | ↑ +129% |
| BERGEN RISK | ALL PRODUCTS | $232.50 | ↑ +138% |
| HORIZON | OMNIA | $236.84 | ↑ +143% |
| HORIZON | PIP | $239.94 | ↑ +146% |
| HORIZON | WORKERS COMP | $241.61 | ↑ +148% |
| AETNA | ASA | $242.73 | ↑ +149% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $248.00 | ↑ +154% |
| CIGNA | BH | $248.00 | ↑ +154% |
| HORIZON | INDEMNITY | $260.49 | ↑ +167% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $263.50 | ↑ +170% |
| HORIZON | SHP | $289.23 | ↑ +197% |
| HORIZON | HMO | $292.02 | ↑ +199% |
| HORIZON | PPO | $299.46 | ↑ +207% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray nose to rectum for foreign body child at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $63.06 | $15.25 – $192.46 |
| Cooperman Barnabas Medical Center | Livingston | $51.70 | $24.60 – $197.58 |
| Community Medical Center | Toms River | $69.68 | $24.60 – $191.50 |
| Clara Maass Medical Center | Belleville | $51.71 | $24.60 – $196.59 |
| Jersey City Medical Center | Jersey City | $69.82 | $19.73 – $206.34 |
| Monmouth Medical Center | Long Branch | $73.51 | $24.60 – $193.95 |
| Bayshore Medical Center | Holmdel | $97.46 | $38.52 – $219.04 |
| Hackensack University Medical Center | Hackensack | $103.69 | $22.30 – $250.18 |