Biopsy of rectum wall anal approach 45100 at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$3,038.07
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 $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 | $658.85 | ↓ -78% |
| AETNA | MANAGED MEDICAID | $1,116.67 | ↓ -63% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -61% |
| AMERIHEALTH | LOCAL HMO | $1,456.08 | ↓ -52% |
| CLOVER | MEDICARE ADVANTAGE | $1,511.28 | ↓ -50% |
| AMERIHEALTH | REGIONAL HMO | $1,626.96 | ↓ -46% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,737.97 | ↓ -43% |
| CIGNA | HMO | $2,139.00 | ↓ -30% |
| HORIZON | MANAGED MEDICAID | $2,241.00 | ↓ -26% |
| CIGNA | PPO | $2,396.00 | ↓ -21% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↓ -4% |
| WELLCARE | MEDICARE ADVANTAGE | $3,038.07 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,038.07 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,038.07 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,038.07 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,189.98 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $3,250.74 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $3,311.50 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $3,645.69 | ↑ +20% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↑ +77% |
| OXFORD | ALL PRODUCTS | $6,058.00 | ↑ +99% |
| BERGEN RISK | ALL PRODUCTS | $6,297.00 | ↑ +107% |
| HORIZON | OMNIA | $6,414.54 | ↑ +111% |
| HORIZON | WORKERS COMP | $6,415.00 | ↑ +111% |
| AETNA | ASA | $6,574.07 | ↑ +116% |
| HORIZON | PIP | $6,602.00 | ↑ +117% |
| CIGNA | BH | $6,716.80 | ↑ +121% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,136.60 | ↑ +135% |
| QUALCARE | HMO | $7,388.48 | ↑ +143% |
| QUALCARE | PPO | $7,388.48 | ↑ +143% |
| UNITED HEALTHCARE | HMO | $7,579.00 | ↑ +149% |
| HORIZON | SHP | $7,833.47 | ↑ +158% |
| HORIZON | HMO | $7,909.03 | ↑ +160% |
| HORIZON | INDEMNITY | $8,018.18 | ↑ +164% |
| HORIZON | PPO | $8,110.54 | ↑ +167% |
| AETNA | HMO | $8,419.00 | ↑ +177% |
| AETNA | PPO | $8,419.00 | ↑ +177% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +227% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
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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 |
| Palisades Medical Center | North Bergen | $3,229.60 | $658.85 – $3,520.27 |
| 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 |