Biopsy bone trocar/needle superficial at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$1,793.38
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.
$4,290.00
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.
$176.09 with KARNA vs $12,082.00 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 | $176.09 | ↓ -90% |
| AETNA | MANAGED MEDICAID | $712.14 | ↓ -60% |
| CLOVER | MEDICARE ADVANTAGE | $772.20 | ↓ -57% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $990.99 | ↓ -45% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $1,793.38 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,793.38 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,793.38 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,793.38 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,793.38 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,883.05 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,954.78 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,152.05 | ↑ +20% |
| CIGNA | HMO | $2,247.00 | ↑ +25% |
| CIGNA | PPO | $2,518.00 | ↑ +40% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,526.81 | ↑ +41% |
| OXFORD | ALL PRODUCTS | $2,923.21 | ↑ +63% |
| HORIZON | MANAGED MEDICAID | $2,959.67 | ↑ +65% |
| BERGEN RISK | ALL PRODUCTS | $3,217.50 | ↑ +79% |
| BEACON | ALL PRODUCTS | $3,217.50 | ↑ +79% |
| HORIZON | PIP | $3,268.98 | ↑ +82% |
| QUALCARE | HMO | $3,333.33 | ↑ +86% |
| QUALCARE | PPO | $3,333.33 | ↑ +86% |
| AETNA | ASA | $3,359.07 | ↑ +87% |
| CIGNA | BH | $3,432.00 | ↑ +91% |
| UNITED HEALTHCARE | HMO | $3,645.21 | ↑ +103% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,646.50 | ↑ +103% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,646.50 | ↑ +103% |
| AMERIHEALTH | LOCAL HMO | $3,747.74 | ↑ +109% |
| QUALCARE | WORKERS COMP | $3,775.20 | ↑ +111% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,861.00 | ↑ +115% |
| AETNA | PPO | $3,861.00 | ↑ +115% |
| AETNA | HMO | $3,861.00 | ↑ +115% |
| AMERIHEALTH | REGIONAL HMO | $4,244.53 | ↑ +137% |
| HORIZON | OMNIA | $9,533.00 | ↑ +432% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +466% |
| HORIZON | SHP | $10,970.00 | ↑ +512% |
| HORIZON | HMO | $11,776.00 | ↑ +557% |
| HORIZON | INDEMNITY | $11,886.00 | ↑ +563% |
| HORIZON | PPO | $12,082.00 | ↑ +574% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy bone trocar/needle superficial at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,793.38 | $1,793.38 – $2,152.05 |
| Hackensack University Medical Center | Hackensack | $1,908.09 | $181.29 – $2,003.50 |
| Ocean University Medical Center | Brick | $1,770.73 | $176.09 – $2,124.87 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,794.93 | $181.29 – $1,794.93 |
| Palisades Medical Center | North Bergen | $1,908.09 | $181.29 – $2,079.82 |
| Raritan Bay Medical Center | Perth Amboy | $1,794.93 | $181.29 – $2,153.92 |
| Riverview Medical Center | Red Bank | $1,793.38 | $176.09 – $2,152.05 |
| Southern Ocean Medical Center | Manahawkin | $1,770.73 | $176.09 – $2,124.87 |