Prostate biopsy, any mthd at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$398.51
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.
$1,870.00
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.
$248.71 with AETNA vs $1,819.32 with AMERIHEALTH — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $248.71 | ↓ -38% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $387.09 | ↓ -3% |
| WELLCARE | MANAGED MEDICAID | $398.51 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $398.51 | ↑ +0% |
| VACCN | ALL PRODUCTS | $398.51 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $398.51 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $418.43 | ↑ +5% |
| AMERIGROUP | MEDICARE ADVANTAGE | $426.40 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $434.37 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $478.21 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $597.81 | ↑ +50% |
| UNITED HEALTHCARE | HMO | $597.81 | ↑ +50% |
| KARNA | MEDICARE ADVANTAGE | $672.81 | ↑ +69% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $704.86 | ↑ +77% |
| QUALCARE | WORKERS COMP | $1,243.55 | ↑ +212% |
| AETNA | PPO | $1,286.56 | ↑ +223% |
| AETNA | HMO | $1,286.56 | ↑ +223% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,402.50 | ↑ +252% |
| BERGEN RISK | ALL PRODUCTS | $1,402.50 | ↑ +252% |
| HORIZON | OMNIA | $1,428.68 | ↑ +259% |
| HORIZON | PIP | $1,447.38 | ↑ +263% |
| HORIZON | WORKERS COMP | $1,457.48 | ↑ +266% |
| AETNA | ASA | $1,464.21 | ↑ +267% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,496.00 | ↑ +275% |
| CIGNA | BH | $1,496.00 | ↑ +275% |
| HORIZON | INDEMNITY | $1,571.36 | ↑ +294% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,589.50 | ↑ +299% |
| AMERIHEALTH | LOCAL HMO | $1,618.49 | ↑ +306% |
| QUALCARE | HMO | $1,697.96 | ↑ +326% |
| QUALCARE | PPO | $1,697.96 | ↑ +326% |
| HORIZON | SHP | $1,744.71 | ↑ +338% |
| HORIZON | HMO | $1,761.54 | ↑ +342% |
| CIGNA | PPO | $1,788.28 | ↑ +349% |
| CIGNA | HMO | $1,788.28 | ↑ +349% |
| HORIZON | PPO | $1,806.42 | ↑ +353% |
| AMERIHEALTH | REGIONAL HMO | $1,819.32 | ↑ +357% |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Prostate biopsy, any mthd at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $398.51 | $359.72 – $672.81 |
| Jersey Shore University Medical Center | Neptune City | $398.16 | $398.16 – $650.97 |
| Palisades Medical Center | North Bergen | $423.63 | $249.26 – $1,228.50 |
| Riverview Medical Center | Red Bank | $398.16 | $398.16 – $642.92 |
| Southern Ocean Medical Center | Manahawkin | $393.13 | $393.13 – $642.92 |
| Trinitas Regional Medical Center | Elizabeth | not published | $152.33 – $786.26 |
| Cooperman Barnabas Medical Center | Livingston | not published | $152.33 – $807.16 |
| Community Medical Center | Toms River | not published | $152.33 – $782.33 |