Biopsy tongue anterior two-thirds at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$563.67
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.
$2,094.00
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.
$224.75 with KARNA vs $14,615.00 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 | $224.75 | ↓ -60% |
| AETNA | MANAGED MEDICAID | $347.60 | ↓ -38% |
| CLOVER | MEDICARE ADVANTAGE | $376.92 | ↓ -33% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $483.71 | ↓ -14% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $563.67 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $563.67 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $563.67 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $563.67 | ↑ +0% |
| VACCN | ALL PRODUCTS | $563.67 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $591.85 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $614.40 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $676.40 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +111% |
| BEACON | ALL PRODUCTS | $1,570.50 | ↑ +179% |
| BERGEN RISK | ALL PRODUCTS | $1,570.50 | ↑ +179% |
| HORIZON | PIP | $1,595.63 | ↑ +183% |
| QUALCARE | PPO | $1,627.04 | ↑ +189% |
| AETNA | ASA | $1,639.60 | ↑ +191% |
| HORIZON | OMNIA | $1,661.38 | ↑ +195% |
| CIGNA | BH | $1,675.20 | ↑ +197% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,779.90 | ↑ +216% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,779.90 | ↑ +216% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↑ +224% |
| AMERIHEALTH | LOCAL HMO | $1,829.32 | ↑ +225% |
| QUALCARE | WORKERS COMP | $1,842.72 | ↑ +227% |
| HORIZON | SHP | $2,032.65 | ↑ +261% |
| HORIZON | HMO | $2,043.33 | ↑ +263% |
| HORIZON | INDEMNITY | $2,065.73 | ↑ +266% |
| AMERIHEALTH | REGIONAL HMO | $2,071.80 | ↑ +268% |
| HORIZON | PPO | $2,094.00 | ↑ +271% |
| CIGNA | HMO | $2,247.00 | ↑ +299% |
| CIGNA | PPO | $2,518.00 | ↑ +347% |
| OXFORD | ALL PRODUCTS | $2,805.00 | ↑ +398% |
| UNITED HEALTHCARE | HMO | $3,315.00 | ↑ +488% |
| QUALCARE | HMO | $6,256.00 | ↑ +1010% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +1703% |
| AETNA | PPO | $10,202.00 | ↑ +1710% |
| AETNA | HMO | $10,202.00 | ↑ +1710% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +2493% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy tongue anterior two-thirds at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $563.67 | $563.67 – $676.40 |
| Hackensack University Medical Center | Hackensack | $599.72 | $233.25 – $636.27 |
| Ocean University Medical Center | Brick | $556.55 | $224.75 – $667.86 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $564.16 | $50.40 – $564.16 |
| Palisades Medical Center | North Bergen | $599.72 | $233.25 – $653.70 |
| Raritan Bay Medical Center | Perth Amboy | $564.16 | $233.25 – $676.99 |
| Riverview Medical Center | Red Bank | $563.67 | $224.75 – $676.40 |
| Southern Ocean Medical Center | Manahawkin | $556.55 | $224.75 – $667.86 |