Bone biopsy open superficial 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.
$6,399.00
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.
$70.52 with Wellpoint vs $13,088.93 with Horizon Blue Cross Blue Shield of New Jersey — 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 | $70.52 | ↓ -99% |
| United Healthcare | Community Plan | $961.12 | ↓ -84% |
| Aetna | Better Health | $1,052.63 | ↓ -82% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,354.08 | ↓ -77% |
| Amerihealth | Regional Preferred | $1,673.82 | ↓ -71% |
| Amerihealth | Local Value | $1,673.82 | ↓ -71% |
| Qualcare Inc | HMO/POS/PPO/WC | $1,919.70 | ↓ -67% |
| Cigna | HMO | $2,543.00 | ↓ -57% |
| Aetna | HMO | $2,612.00 | ↓ -55% |
| Aetna | PPO | $2,612.00 | ↓ -55% |
| Cigna | PPO | $2,678.00 | ↓ -54% |
| Humana | Medicare | $3,127.88 | ↓ -47% |
| Wellpoint | Medicare Advantage | $3,127.88 | ↓ -47% |
| Clover Health | Medicare Advantage | $3,127.88 | ↓ -47% |
| Fidelis Care | Medicare Advantage | $3,127.88 | ↓ -47% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $3,127.88 | ↓ -47% |
| Aetna | Medicare | $3,127.88 | ↓ -47% |
| United Healthcare | Medicare | $3,190.44 | ↓ -46% |
| United Healthcare | Oxford Metro | $3,811.00 | ↓ -35% |
| First Health | Commercial | $3,839.40 | ↓ -34% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $4,080.64 | ↓ -30% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $4,080.64 | ↓ -30% |
| United Healthcare | Nexus | $4,288.00 | ↓ -27% |
| United Healthcare | Oxford Commercial | $4,484.00 | ↓ -23% |
| United Healthcare | Commercial | $5,045.00 | ↓ -14% |
| Wellcare | Ambetter Health Commercial | $6,224.48 | ↑ +6% |
| Emblem Health | Commercial | $6,255.76 | ↑ +7% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $7,847.23 | ↑ +34% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $12,362.32 | ↑ +111% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $12,939.73 | ↑ +121% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $13,088.93 | ↑ +124% |
Visitor-reported prices
Comments
Bone biopsy open superficial at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $104.58 – $6,421.98 |
| Community Medical Center | Toms River | $3,786.00 | $107.10 – $6,224.48 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $103.32 – $6,389.87 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $72.60 – $6,421.98 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $91.26 – $6,707.33 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $206.64 – $6,304.10 |
| Bayshore Medical Center | Holmdel | $3,167.89 | $3,167.89 – $3,801.47 |
| Hackensack University Medical Center | Hackensack | $3,370.52 | $295.01 – $3,539.05 |