Biopsy of rectum wall anal approach 45100 at Palisades Medical Center
7600 River Rd., North Bergen, NJ · Hackensack Meridian Health · · NPI 1730692344
$3,229.60
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.
$8,396.00
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.
$658.85 with KARNA vs $16,802.00 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 | $658.85 | ↓ -80% |
| HORIZON | MANAGED MEDICAID | $1,195.00 | ↓ -63% |
| AETNA | MANAGED MEDICAID | $1,435.72 | ↓ -56% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,460.90 | ↓ -55% |
| CLOVER | MEDICARE ADVANTAGE | $1,511.28 | ↓ -53% |
| CIGNA | HMO | $2,127.00 | ↓ -34% |
| CIGNA | PPO | $2,383.00 | ↓ -26% |
| HORIZON | MEDICARE ADVANTAGE | $3,229.60 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,229.60 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,229.60 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,229.60 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $3,229.60 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,229.60 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,391.08 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,520.27 | ↑ +9% |
| HORIZON | OMNIA | $5,744.54 | ↑ +78% |
| OXFORD | ALL PRODUCTS | $6,080.00 | ↑ +88% |
| HORIZON | PIP | $6,297.00 | ↑ +95% |
| BERGEN RISK | ALL PRODUCTS | $6,297.00 | ↑ +95% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $6,716.80 | ↑ +108% |
| HORIZON | SHP | $6,892.28 | ↑ +113% |
| AMERIHEALTH | LOCAL HMO | $7,029.97 | ↑ +118% |
| HORIZON | HMO | $7,099.66 | ↑ +120% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,136.60 | ↑ +121% |
| HORIZON | INDEMNITY | $7,155.07 | ↑ +122% |
| HORIZON | PPO | $7,279.33 | ↑ +125% |
| UNITED HEALTHCARE | HMO | $7,538.00 | ↑ +133% |
| QUALCARE | HMO | $7,730.00 | ↑ +139% |
| QUALCARE | PPO | $7,730.00 | ↑ +139% |
| QUALCARE | WORKERS COMP | $7,730.00 | ↑ +139% |
| AETNA | HMO | $7,770.00 | ↑ +141% |
| AETNA | PPO | $7,770.00 | ↑ +141% |
| AMERIHEALTH | REGIONAL HMO | $7,846.06 | ↑ +143% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +208% |
| HORIZON | WORKERS COMP | $16,802.00 | ↑ +420% |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | 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 |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,035.44 | $3,035.44 – $3,642.53 |
| Hackensack University Medical Center | Hackensack | $3,229.60 | $658.85 – $3,391.08 |
| Ocean University Medical Center | Brick | $2,997.10 | $636.23 – $3,596.52 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,038.07 | $190.40 – $3,038.07 |
| Jersey Shore University Medical Center | Neptune City | $3,035.44 | $636.23 – $3,642.53 |
| Raritan Bay Medical Center | Perth Amboy | $3,038.07 | $658.85 – $3,645.69 |
| Riverview Medical Center | Red Bank | $3,035.44 | $636.23 – $3,642.53 |
| Southern Ocean Medical Center | Manahawkin | $2,997.10 | $636.23 – $3,596.52 |