Pr biopsy skin punch single lesion at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$442.61
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.
$1,285.00
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.
$0.01 with CIGNA 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 |
|---|---|---|---|
| CIGNA | PPO | $0.01 | ↓ -100% |
| CIGNA | HMO | $0.01 | ↓ -100% |
| KARNA | MEDICARE ADVANTAGE | $98.36 | ↓ -78% |
| AETNA | MANAGED MEDICAID | $170.91 | ↓ -61% |
| CLOVER | MEDICARE ADVANTAGE | $231.30 | ↓ -48% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $266.00 | ↓ -40% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $442.61 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $442.61 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $442.61 | ↑ +0% |
| VACCN | ALL PRODUCTS | $442.61 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $464.74 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $473.59 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $482.44 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $531.13 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $606.70 | ↑ +37% |
| AMERIHEALTH | REGIONAL HMO | $677.90 | ↑ +53% |
| BERGEN RISK | ALL PRODUCTS | $963.75 | ↑ +118% |
| HORIZON | OMNIA | $981.74 | ↑ +122% |
| AETNA | ASA | $1,006.16 | ↑ +127% |
| CIGNA | BH | $1,028.00 | ↑ +132% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,092.25 | ↑ +147% |
| QUALCARE | HMO | $1,130.80 | ↑ +155% |
| QUALCARE | PPO | $1,130.80 | ↑ +155% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +169% |
| HORIZON | SHP | $1,198.91 | ↑ +171% |
| HORIZON | HMO | $1,210.47 | ↑ +173% |
| HORIZON | INDEMNITY | $1,227.18 | ↑ +177% |
| HORIZON | PPO | $1,241.31 | ↑ +180% |
| HORIZON | MANAGED MEDICAID | $2,438.00 | ↑ +451% |
| OXFORD | ALL PRODUCTS | $2,761.00 | ↑ +524% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↑ +559% |
| UNITED HEALTHCARE | HMO | $3,392.00 | ↑ +666% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↑ +1112% |
| HORIZON | WORKERS COMP | $6,415.00 | ↑ +1349% |
| HORIZON | PIP | $6,602.00 | ↑ +1392% |
| AETNA | PPO | $8,419.00 | ↑ +1802% |
| AETNA | HMO | $8,419.00 | ↑ +1802% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +2144% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pr biopsy skin punch single lesion at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $122.89 – $868.91 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $118.56 – $892.00 |
| Bayshore Medical Center | Holmdel | $442.22 | $442.22 – $530.67 |
| Hackensack University Medical Center | Hackensack | $470.51 | $98.36 – $494.04 |
| Ocean University Medical Center | Brick | $436.64 | $95.47 – $523.97 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $442.61 | $98.36 – $442.61 |
| Jersey Shore University Medical Center | Neptune City | $442.22 | $95.47 – $530.67 |
| Palisades Medical Center | North Bergen | $470.51 | $98.36 – $512.86 |