Biopsy of rectum wall anal approach 45100 at Robert Wood Johnson University Hospital
1 Robert Wood Johnson Pl, New Brunswick, NJ · RWJBarnabas Health · · NPI 1346243375
$5,741.00
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.
$7,506.00
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.
$143.75 with Horizon Blue Cross Blue Shield of New Jersey vs $6,682.31 with Emblem Health — 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 | $143.75 | ↓ -97% |
| Wellpoint | NJ Family Care | $264.45 | ↓ -95% |
| United Healthcare | Community Plan | $1,019.31 | ↓ -82% |
| Aetna | Better Health | $1,116.14 | ↓ -81% |
| Fidelis Care | NJ Family Care | $1,200.96 | ↓ -79% |
| Amerihealth | Local Value | $2,626.34 | ↓ -54% |
| Cigna | HMO | $2,750.00 | ↓ -52% |
| Cigna | PPO | $2,896.00 | ↓ -50% |
| Wellpoint | Medicare Advantage | $3,182.05 | ↓ -45% |
| Clover Health | Medicare Advantage | $3,182.05 | ↓ -45% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $3,182.05 | ↓ -45% |
| Aetna | Medicare | $3,182.05 | ↓ -45% |
| Humana | Medicare | $3,182.05 | ↓ -45% |
| Fidelis Care | Medicare Advantage | $3,182.05 | ↓ -45% |
| United Healthcare | Medicare | $3,245.69 | ↓ -43% |
| Amerihealth | Regional Preferred | $3,599.87 | ↓ -37% |
| United Healthcare | Oxford Metro | $4,094.00 | ↓ -29% |
| United Healthcare | Nexus | $4,322.00 | ↓ -25% |
| Aetna | HMO | $4,370.00 | ↓ -24% |
| Aetna | PPO | $4,370.00 | ↓ -24% |
| First Health | Commercial | $4,503.60 | ↓ -22% |
| United Healthcare | Oxford Commercial | $4,816.00 | ↓ -16% |
| United Healthcare | Commercial | $5,085.00 | ↓ -11% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $5,667.78 | ↓ -1% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $6,244.99 | ↑ +9% |
| Wellcare | Ambetter Health Commercial | $6,332.28 | ↑ +10% |
| Emblem Health | Commercial | $6,682.31 | ↑ +16% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | not published by hospital | — |
| Qualcare Inc | PPO | not published by hospital | — |
| Qualcare Inc | HMO/POS | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | not published by hospital | — |
| Qualcare Inc | WC | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of rectum wall anal approach 45100 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $156.54 – $5,994.20 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $158.03 – $6,153.48 |
| Community Medical Center | Toms River | $3,786.00 | $161.84 – $5,964.23 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $156.13 – $6,122.71 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $161.14 – $6,153.48 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $171.36 – $6,426.90 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $312.26 – $6,040.53 |
| Bayshore Medical Center | Holmdel | $3,035.44 | $3,035.44 – $3,642.53 |