Biopsy skin incisional single lesion at Trinitas Regional Medical Center
225 Williamson St, Elizabeth, NJ · RWJBarnabas Health · · NPI 1770583999
$5,855.00
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.
$1,604.00
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.
$80.85 with Wellpoint vs $3,301.00 with United Healthcare — 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 |
|---|---|---|---|
| Wellpoint | NJ Family Care | $80.85 | ↓ -99% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $228.22 | ↓ -96% |
| United Healthcare | Community Plan | $240.92 | ↓ -96% |
| Aetna | Better Health | $263.85 | ↓ -95% |
| Amerihealth | Local Value | $380.41 | ↓ -94% |
| Amerihealth | Regional Preferred | $380.41 | ↓ -94% |
| Qualcare Inc | HMO/POS/PPO/WC | $481.20 | ↓ -92% |
| Wellpoint | Medicare Advantage | $668.98 | ↓ -89% |
| Humana | Medicare | $668.98 | ↓ -89% |
| Aetna | Medicare | $668.98 | ↓ -89% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $668.98 | ↓ -89% |
| Fidelis Care | Medicare Advantage | $668.98 | ↓ -89% |
| Clover Health | Medicare Advantage | $668.98 | ↓ -89% |
| United Healthcare | Medicare | $682.36 | ↓ -88% |
| First Health | Commercial | $962.40 | ↓ -84% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,022.87 | ↓ -83% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,022.87 | ↓ -83% |
| Wellcare | Ambetter Health Commercial | $1,331.27 | ↓ -77% |
| Emblem Health | Commercial | $1,337.96 | ↓ -77% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $1,678.34 | ↓ -71% |
| Cigna | HMO | $1,930.00 | ↓ -67% |
| Cigna | PPO | $2,033.00 | ↓ -65% |
| United Healthcare | Oxford Metro | $2,494.00 | ↓ -57% |
| Aetna | PPO | $2,612.00 | ↓ -55% |
| Aetna | HMO | $2,612.00 | ↓ -55% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $2,644.01 | ↓ -55% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $2,767.50 | ↓ -53% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $2,799.41 | ↓ -52% |
| United Healthcare | Nexus | $2,806.00 | ↓ -52% |
| United Healthcare | Oxford Commercial | $2,934.00 | ↓ -50% |
| United Healthcare | Commercial | $3,301.00 | ↓ -44% |
Visitor-reported prices
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Biopsy skin incisional single lesion at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $148.65 – $1,331.27 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $143.40 – $1,366.65 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $83.22 – $1,373.52 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $104.62 – $1,434.55 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $286.80 – $1,348.30 |
| Bayshore Medical Center | Holmdel | $677.54 | $677.54 – $813.05 |
| Hackensack University Medical Center | Hackensack | $720.88 | $118.75 – $756.93 |
| Ocean University Medical Center | Brick | $668.98 | $115.33 – $802.78 |