Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$1,794.93
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.
$2,946.00
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.
$179.34 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 | $179.34 | ↓ -90% |
| AETNA | MANAGED MEDICAID | $391.82 | ↓ -78% |
| CLOVER | MEDICARE ADVANTAGE | $530.28 | ↓ -70% |
| AMERIHEALTH | LOCAL HMO | $606.70 | ↓ -66% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $609.82 | ↓ -66% |
| AMERIHEALTH | REGIONAL HMO | $677.90 | ↓ -62% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -34% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,794.93 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,794.93 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,794.93 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,794.93 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,884.68 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,920.58 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $1,956.48 | ↑ +9% |
| CIGNA | HMO | $2,139.00 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $2,153.92 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $2,209.50 | ↑ +23% |
| HORIZON | MANAGED MEDICAID | $2,241.00 | ↑ +25% |
| HORIZON | OMNIA | $2,250.74 | ↑ +25% |
| AETNA | ASA | $2,306.72 | ↑ +29% |
| CIGNA | BH | $2,356.80 | ↑ +31% |
| CIGNA | PPO | $2,396.00 | ↑ +33% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,504.10 | ↑ +40% |
| QUALCARE | PPO | $2,592.48 | ↑ +44% |
| QUALCARE | HMO | $2,592.48 | ↑ +44% |
| HORIZON | SHP | $2,748.62 | ↑ +53% |
| HORIZON | HMO | $2,775.13 | ↑ +55% |
| HORIZON | INDEMNITY | $2,813.43 | ↑ +57% |
| HORIZON | PPO | $2,845.84 | ↑ +59% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,915.00 | ↑ +62% |
| OXFORD | ALL PRODUCTS | $4,030.00 | ↑ +125% |
| UNITED HEALTHCARE | HMO | $5,003.00 | ↑ +179% |
| QUALCARE | WORKERS COMP | $5,366.00 | ↑ +199% |
| HORIZON | WORKERS COMP | $6,415.00 | ↑ +257% |
| HORIZON | PIP | $6,602.00 | ↑ +268% |
| AETNA | HMO | $8,419.00 | ↑ +369% |
| AETNA | PPO | $8,419.00 | ↑ +369% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +453% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $65.92 – $3,541.46 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $114.34 – $3,635.56 |
| Community Medical Center | Toms River | $3,786.00 | $117.10 – $3,523.75 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $112.96 – $3,617.38 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $67.86 – $3,635.56 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $85.31 – $3,797.10 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $225.93 – $3,568.83 |
| Bayshore Medical Center | Holmdel | $1,793.38 | $1,793.38 – $2,152.05 |