Biopsy of prostate at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$2,269.38
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.
$6,930.00
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.
$271.50 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 | $271.50 | ↓ -88% |
| AETNA | MANAGED MEDICAID | $921.69 | ↓ -59% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -48% |
| CLOVER | MEDICARE ADVANTAGE | $1,247.40 | ↓ -45% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,434.51 | ↓ -37% |
| HORIZON | MANAGED MEDICAID | $2,241.00 | ↓ -1% |
| VACCN | ALL PRODUCTS | $2,269.38 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,269.38 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,269.38 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,269.38 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,382.85 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $2,428.24 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $2,473.62 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,723.26 | ↑ +20% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↑ +28% |
| CIGNA | HMO | $2,981.00 | ↑ +31% |
| AMERIHEALTH | LOCAL HMO | $3,154.84 | ↑ +39% |
| CIGNA | PPO | $3,336.00 | ↑ +47% |
| AMERIHEALTH | REGIONAL HMO | $3,525.08 | ↑ +55% |
| BERGEN RISK | ALL PRODUCTS | $5,197.50 | ↑ +129% |
| HORIZON | OMNIA | $5,294.52 | ↑ +133% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↑ +136% |
| AETNA | ASA | $5,426.19 | ↑ +139% |
| CIGNA | BH | $5,544.00 | ↑ +144% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,890.50 | ↑ +160% |
| OXFORD | ALL PRODUCTS | $6,058.00 | ↑ +167% |
| QUALCARE | HMO | $6,098.40 | ↑ +169% |
| QUALCARE | PPO | $6,098.40 | ↑ +169% |
| HORIZON | WORKERS COMP | $6,415.00 | ↑ +183% |
| HORIZON | SHP | $6,465.69 | ↑ +185% |
| HORIZON | HMO | $6,528.06 | ↑ +188% |
| HORIZON | PIP | $6,602.00 | ↑ +191% |
| HORIZON | INDEMNITY | $6,618.15 | ↑ +192% |
| HORIZON | PPO | $6,694.38 | ↑ +195% |
| UNITED HEALTHCARE | HMO | $7,579.00 | ↑ +234% |
| AETNA | HMO | $8,419.00 | ↑ +271% |
| AETNA | PPO | $8,419.00 | ↑ +271% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +338% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of prostate at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $2,267.41 | $2,267.41 – $2,720.90 |
| Hackensack University Medical Center | Hackensack | $2,412.45 | $271.50 – $2,533.07 |
| Ocean University Medical Center | Brick | $2,238.78 | $264.23 – $2,686.53 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,269.38 | $84.00 – $2,269.38 |
| Jersey Shore University Medical Center | Neptune City | $2,267.41 | $264.23 – $2,720.90 |
| Palisades Medical Center | North Bergen | $2,412.45 | $271.50 – $2,629.57 |
| Riverview Medical Center | Red Bank | $2,267.41 | $264.23 – $2,720.90 |
| Southern Ocean Medical Center | Manahawkin | $2,238.78 | $264.23 – $2,686.53 |