Bx vulva or perineum/1 lesion 56605 at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$951.61
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.
$2,445.00
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.
$121.26 with KARNA vs $10,671.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $121.26 | ↓ -87% |
| AETNA | MANAGED MEDICAID | $220.24 | ↓ -77% |
| CLOVER | MEDICARE ADVANTAGE | $279.18 | ↓ -71% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $300.89 | ↓ -68% |
| HORIZON | MANAGED MEDICAID | $848.00 | ↓ -11% |
| HORIZON | MEDICARE ADVANTAGE | $870.74 | ↓ -8% |
| VACCN | ALL PRODUCTS | $870.74 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $870.74 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $870.74 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $870.74 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $870.74 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $914.28 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $951.61 | ↑ +0% |
| HORIZON | OMNIA | $1,010.32 | ↑ +6% |
| UNITED HEALTHCARE | DSNP | $1,141.94 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $1,163.25 | ↑ +22% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +25% |
| HORIZON | PIP | $1,198.92 | ↑ +26% |
| QUALCARE | PPO | $1,205.13 | ↑ +27% |
| HORIZON | SHP | $1,209.31 | ↑ +27% |
| AETNA | ASA | $1,214.43 | ↑ +28% |
| HORIZON | HMO | $1,247.78 | ↑ +31% |
| HORIZON | INDEMNITY | $1,262.51 | ↑ +33% |
| HORIZON | PPO | $1,280.51 | ↑ +35% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,318.35 | ↑ +39% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,318.35 | ↑ +39% |
| AMERIHEALTH | LOCAL HMO | $1,332.62 | ↑ +40% |
| QUALCARE | WORKERS COMP | $1,364.88 | ↑ +43% |
| AMERIHEALTH | REGIONAL HMO | $1,509.43 | ↑ +59% |
| INTERGROUP | WORKERS COMP | $1,711.50 | ↑ +80% |
| INTERGROUP | SHARED SAVINGS | $1,711.50 | ↑ +80% |
| PRIME HEALTH | WORKERS COMP | $1,956.00 | ↑ +106% |
| PRIME HEALTH | AUTO INSURANCE | $1,956.00 | ↑ +106% |
| CIGNA | PPO | $2,212.48 | ↑ +132% |
| CIGNA | HMO | $2,212.48 | ↑ +132% |
| AETNA | HMO | $4,025.00 | ↑ +323% |
| AETNA | PPO | $4,025.00 | ↑ +323% |
| OXFORD | ALL PRODUCTS | $4,090.00 | ↑ +330% |
| UNITED HEALTHCARE | HMO | $5,092.00 | ↑ +435% |
| QUALCARE | HMO | $6,256.00 | ↑ +557% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +944% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +1021% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Bx vulva or perineum/1 lesion 56605 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $963.79 | $963.79 – $1,156.54 |
| Hackensack University Medical Center | Hackensack | $1,025.44 | $124.48 – $1,076.71 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $964.62 | $47.14 – $964.62 |
| Jersey Shore University Medical Center | Neptune City | $963.79 | $121.26 – $1,156.54 |
| Palisades Medical Center | North Bergen | $1,025.44 | $124.48 – $1,117.72 |
| Raritan Bay Medical Center | Perth Amboy | $964.62 | $124.48 – $1,157.55 |
| Riverview Medical Center | Red Bank | $963.79 | $121.26 – $1,156.54 |
| Southern Ocean Medical Center | Manahawkin | $951.61 | $121.26 – $1,141.94 |