X-ray thoracic spine 3 views at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$117.81
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.
$674.00
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.
$45.00 with HORIZON vs $651.08 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 | $45.00 | ↓ -62% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $55.36 | ↓ -53% |
| AETNA | HMO | $65.71 | ↓ -44% |
| AETNA | PPO | $65.71 | ↓ -44% |
| AMERIHEALTH | LOCAL HMO | $75.59 | ↓ -36% |
| AMERIHEALTH | REGIONAL HMO | $76.20 | ↓ -35% |
| KARNA | MEDICARE ADVANTAGE | $76.66 | ↓ -35% |
| AETNA | MANAGED MEDICAID | $89.64 | ↓ -24% |
| CIGNA | PPO | $101.05 | ↓ -14% |
| CIGNA | HMO | $101.05 | ↓ -14% |
| WELLCARE | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.81 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.81 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $121.32 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.70 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $126.05 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $128.41 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $139.52 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $141.37 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +150% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +150% |
| QUALCARE | WORKERS COMP | $372.05 | ↑ +216% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $404.40 | ↑ +243% |
| QUALCARE | PPO | $485.95 | ↑ +312% |
| QUALCARE | HMO | $485.95 | ↑ +312% |
| BERGEN RISK | ALL PRODUCTS | $505.50 | ↑ +329% |
| HORIZON | OMNIA | $514.94 | ↑ +337% |
| HORIZON | PIP | $521.68 | ↑ +343% |
| HORIZON | WORKERS COMP | $525.32 | ↑ +346% |
| AETNA | ASA | $527.74 | ↑ +348% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $539.20 | ↑ +358% |
| CIGNA | BH | $539.20 | ↑ +358% |
| HORIZON | INDEMNITY | $566.36 | ↑ +381% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $572.90 | ↑ +386% |
| HORIZON | SHP | $628.84 | ↑ +434% |
| HORIZON | HMO | $634.91 | ↑ +439% |
| HORIZON | PPO | $651.08 | ↑ +453% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray thoracic spine 3 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $269.60 | $97.73 – $97.73 |
| Trinitas Regional Medical Center | Elizabeth | $109.61 | $20.63 – $232.44 |
| Cooperman Barnabas Medical Center | Livingston | $193.88 | $32.80 – $238.62 |
| Community Medical Center | Toms River | $121.12 | $32.80 – $231.28 |
| Clara Maass Medical Center | Belleville | $161.10 | $32.80 – $237.43 |
| Newark Beth Israel Medical Center | Newark | $190.59 | $21.24 – $238.62 |
| Jersey City Medical Center | Jersey City | $121.35 | $26.70 – $249.21 |
| Monmouth Medical Center | Long Branch | $127.77 | $32.80 – $234.22 |