X-ray sinus tract/fistula/abscess at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$607.42
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.
$1,128.00
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.
$47.25 with HORIZON vs $1,307.42 with OXFORD — 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 | $47.25 | ↓ -92% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $78.93 | ↓ -87% |
| AETNA | PPO | $80.69 | ↓ -87% |
| AETNA | HMO | $80.69 | ↓ -87% |
| KARNA | MEDICARE ADVANTAGE | $113.98 | ↓ -81% |
| CIGNA | PPO | $126.98 | ↓ -79% |
| CIGNA | HMO | $126.98 | ↓ -79% |
| AETNA | MANAGED MEDICAID | $150.02 | ↓ -75% |
| CLOVER | MEDICARE ADVANTAGE | $203.04 | ↓ -67% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $233.50 | ↓ -62% |
| WELLCARE | MANAGED MEDICAID | $607.42 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $607.42 | ↑ +0% |
| VACCN | ALL PRODUCTS | $607.42 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $607.42 | ↑ +0% |
| QUALCARE | WORKERS COMP | $622.66 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $637.79 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $649.94 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $662.09 | ↑ +9% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $676.80 | ↑ +11% |
| UNITED HEALTHCARE | DSNP | $728.90 | ↑ +20% |
| QUALCARE | HMO | $813.29 | ↑ +34% |
| QUALCARE | PPO | $813.29 | ↑ +34% |
| BERGEN RISK | ALL PRODUCTS | $846.00 | ↑ +39% |
| HORIZON | OMNIA | $861.79 | ↑ +42% |
| HORIZON | PIP | $873.07 | ↑ +44% |
| HORIZON | WORKERS COMP | $879.16 | ↑ +45% |
| AETNA | ASA | $883.22 | ↑ +45% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $902.40 | ↑ +49% |
| CIGNA | BH | $902.40 | ↑ +49% |
| HORIZON | INDEMNITY | $947.86 | ↑ +56% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $958.80 | ↑ +58% |
| AMERIHEALTH | LOCAL HMO | $976.28 | ↑ +61% |
| HORIZON | SHP | $1,052.42 | ↑ +73% |
| HORIZON | HMO | $1,062.58 | ↑ +75% |
| HORIZON | PPO | $1,089.65 | ↑ +79% |
| AMERIHEALTH | REGIONAL HMO | $1,097.43 | ↑ +81% |
| UNITED HEALTHCARE | HMO | $1,307.42 | ↑ +115% |
| OXFORD | ALL PRODUCTS | $1,307.42 | ↑ +115% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray sinus tract/fistula/abscess at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $215.47 | $17.25 – $1,198.46 |
| Cooperman Barnabas Medical Center | Livingston | $241.98 | $34.44 – $1,230.30 |
| Community Medical Center | Toms River | $238.09 | $34.44 – $1,192.47 |
| Clara Maass Medical Center | Belleville | $214.21 | $34.44 – $1,224.15 |
| Newark Beth Israel Medical Center | Newark | $237.87 | $31.74 – $1,230.30 |
| Jersey City Medical Center | Jersey City | $238.55 | $34.44 – $1,284.96 |
| Monmouth Medical Center | Long Branch | $251.18 | $34.44 – $1,207.71 |
| Bayshore Medical Center | Holmdel | $606.89 | $78.93 – $1,307.42 |