X-ray sternum > 2 views 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.
$394.00
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.
$40.73 with HORIZON vs $380.60 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 | $40.73 | ↓ -58% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $49.03 | ↓ -50% |
| AETNA | MANAGED MEDICAID | $52.40 | ↓ -46% |
| AETNA | PPO | $53.75 | ↓ -45% |
| AETNA | HMO | $53.75 | ↓ -45% |
| KARNA | MEDICARE ADVANTAGE | $65.01 | ↓ -33% |
| AMERIHEALTH | LOCAL HMO | $67.63 | ↓ -31% |
| AMERIHEALTH | REGIONAL HMO | $68.18 | ↓ -30% |
| CLOVER | MEDICARE ADVANTAGE | $70.92 | ↓ -27% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $81.56 | ↓ -16% |
| CIGNA | PPO | $86.26 | ↓ -12% |
| CIGNA | HMO | $86.26 | ↓ -12% |
| 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 | $217.49 | ↑ +123% |
| UNITED HEALTHCARE | HMO | $219.04 | ↑ +125% |
| OXFORD | ALL PRODUCTS | $219.04 | ↑ +125% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $236.40 | ↑ +142% |
| QUALCARE | HMO | $284.07 | ↑ +191% |
| QUALCARE | PPO | $284.07 | ↑ +191% |
| BERGEN RISK | ALL PRODUCTS | $295.50 | ↑ +203% |
| HORIZON | OMNIA | $301.02 | ↑ +209% |
| HORIZON | PIP | $304.96 | ↑ +213% |
| HORIZON | WORKERS COMP | $307.08 | ↑ +215% |
| AETNA | ASA | $308.50 | ↑ +216% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $315.20 | ↑ +223% |
| CIGNA | BH | $315.20 | ↑ +223% |
| HORIZON | INDEMNITY | $331.08 | ↑ +239% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $334.90 | ↑ +243% |
| HORIZON | SHP | $367.60 | ↑ +277% |
| HORIZON | HMO | $371.15 | ↑ +281% |
| HORIZON | PPO | $380.60 | ↑ +290% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray sternum > 2 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $114.49 | $17.50 – $192.46 |
| Cooperman Barnabas Medical Center | Livingston | $84.54 | $29.68 – $197.58 |
| Community Medical Center | Toms River | $126.51 | $29.68 – $191.50 |
| Clara Maass Medical Center | Belleville | $102.43 | $29.68 – $196.59 |
| Newark Beth Israel Medical Center | Newark | $83.11 | $18.02 – $197.58 |
| Jersey City Medical Center | Jersey City | $126.75 | $22.65 – $206.34 |
| Monmouth Medical Center | Long Branch | $133.46 | $29.68 – $193.95 |
| Bayshore Medical Center | Holmdel | $97.46 | $49.03 – $219.04 |