Surgical pathology level 6 gross & microscopic examination at Trinitas Regional Medical Center
225 Williamson St, Elizabeth, NJ · RWJBarnabas Health · · NPI 1770583999
$291.87
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.
$1,555.00
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.
$231.40 with Horizon Blue Cross Blue Shield of New Jersey vs $3,735.89 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $231.40 | ↓ -21% |
| Aetna | Better Health | $255.79 | ↓ -12% |
| United Healthcare | Oxford Commercial | $345.51 | ↑ +18% |
| United Healthcare | Commercial | $345.51 | ↑ +18% |
| Wellpoint | NJ Family Care | $359.77 | ↑ +23% |
| United Healthcare | Nexus | $364.96 | ↑ +25% |
| United Healthcare | Oxford Metro | $364.96 | ↑ +25% |
| United Healthcare | Community Plan | $370.36 | ↑ +27% |
| Amerihealth | Local Value | $429.11 | ↑ +47% |
| Amerihealth | Regional Preferred | $429.11 | ↑ +47% |
| Qualcare Inc | HMO/POS/PPO/WC | $523.98 | ↑ +80% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $892.77 | ↑ +206% |
| Aetna | Medicare | $892.77 | ↑ +206% |
| Humana | Medicare | $892.77 | ↑ +206% |
| Wellpoint | Medicare Advantage | $892.77 | ↑ +206% |
| Clover Health | Medicare Advantage | $892.77 | ↑ +206% |
| Fidelis Care | Medicare Advantage | $892.77 | ↑ +206% |
| United Healthcare | Medicare | $910.63 | ↑ +212% |
| First Health | Commercial | $933.00 | ↑ +220% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $991.62 | ↑ +240% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $991.62 | ↑ +240% |
| Cigna | PPO | $1,174.36 | ↑ +302% |
| Cigna | HMO | $1,174.36 | ↑ +302% |
| Wellcare | Ambetter Health Commercial | $1,776.61 | ↑ +509% |
| Emblem Health | Commercial | $1,785.54 | ↑ +512% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $2,239.78 | ↑ +667% |
| Aetna | PPO | $2,907.00 | ↑ +896% |
| Aetna | HMO | $2,907.00 | ↑ +896% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $3,528.49 | ↑ +1109% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $3,693.30 | ↑ +1165% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $3,735.89 | ↑ +1180% |
Visitor-reported prices
Comments
Surgical pathology level 6 gross & microscopic examination at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $278.86 | $145.96 – $1,833.00 |
| Community Medical Center | Toms River | $322.50 | $145.96 – $1,776.61 |
| Clara Maass Medical Center | Belleville | $210.63 | $145.96 – $1,823.84 |
| Newark Beth Israel Medical Center | Newark | $274.12 | $145.96 – $1,833.00 |
| Jersey City Medical Center | Jersey City | $323.12 | $145.96 – $1,914.44 |
| Monmouth Medical Center | Long Branch | $340.23 | $145.96 – $1,799.34 |
| Bayshore Medical Center | Holmdel | $904.19 | $249.24 – $1,346.75 |
| Hackensack University Medical Center | Hackensack | $962.03 | $132.32 – $1,515.40 |