Biopsy of nail unit 11755 at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$779.45
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.
$1,724.00
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.
$126.42 with KARNA vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 | $126.42 | ↓ -84% |
| AETNA | MANAGED MEDICAID | $229.29 | ↓ -71% |
| CLOVER | MEDICARE ADVANTAGE | $310.32 | ↓ -60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $356.87 | ↓ -54% |
| AMERIHEALTH | LOCAL HMO | $606.70 | ↓ -22% |
| AMERIHEALTH | REGIONAL HMO | $677.90 | ↓ -13% |
| VACCN | ALL PRODUCTS | $779.45 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $779.45 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $779.45 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $779.45 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $818.42 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $834.01 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $849.60 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $935.34 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +53% |
| BERGEN RISK | ALL PRODUCTS | $1,293.00 | ↑ +66% |
| HORIZON | OMNIA | $1,317.14 | ↑ +69% |
| AETNA | ASA | $1,349.89 | ↑ +73% |
| CIGNA | BH | $1,379.20 | ↑ +77% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,465.40 | ↑ +88% |
| QUALCARE | HMO | $1,517.12 | ↑ +95% |
| QUALCARE | PPO | $1,517.12 | ↑ +95% |
| HORIZON | SHP | $1,608.49 | ↑ +106% |
| HORIZON | HMO | $1,624.01 | ↑ +108% |
| HORIZON | INDEMNITY | $1,646.42 | ↑ +111% |
| HORIZON | PPO | $1,665.38 | ↑ +114% |
| CIGNA | HMO | $2,139.00 | ↑ +174% |
| CIGNA | PPO | $2,396.00 | ↑ +207% |
| HORIZON | MANAGED MEDICAID | $2,438.00 | ↑ +213% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↑ +274% |
| OXFORD | ALL PRODUCTS | $4,030.00 | ↑ +417% |
| UNITED HEALTHCARE | HMO | $5,003.00 | ↑ +542% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↑ +588% |
| HORIZON | WORKERS COMP | $6,415.00 | ↑ +723% |
| HORIZON | PIP | $6,602.00 | ↑ +747% |
| AETNA | PPO | $8,419.00 | ↑ +980% |
| AETNA | HMO | $8,419.00 | ↑ +980% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1174% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of nail unit 11755 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $778.78 | $778.78 – $934.53 |
| Hackensack University Medical Center | Hackensack | $828.59 | $126.42 – $870.02 |
| Ocean University Medical Center | Brick | $768.94 | $122.97 – $922.73 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $779.45 | $80.82 – $779.45 |
| Jersey Shore University Medical Center | Neptune City | $778.78 | $122.97 – $934.53 |
| Palisades Medical Center | North Bergen | $828.59 | $126.42 – $903.16 |
| Riverview Medical Center | Red Bank | $778.78 | $122.97 – $934.53 |
| Southern Ocean Medical Center | Manahawkin | $768.94 | $122.97 – $922.73 |