Biopsy skin incisional single lesion at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$677.54
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.
$1,192.00
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.
$115.33 with KARNA vs $10,715.00 with HORIZON — 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 | $115.33 | ↓ -83% |
| AETNA | MANAGED MEDICAID | $168.07 | ↓ -75% |
| CLOVER | MEDICARE ADVANTAGE | $214.56 | ↓ -68% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $258.66 | ↓ -62% |
| WELLCARE | MANAGED MEDICAID | $677.54 | ↑ +0% |
| VACCN | ALL PRODUCTS | $677.54 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $677.54 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $677.54 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $711.42 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $738.52 | ↑ +9% |
| HORIZON | OMNIA | $760.26 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $813.05 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $894.00 | ↑ +32% |
| HORIZON | SHP | $917.24 | ↑ +35% |
| QUALCARE | PPO | $926.18 | ↑ +37% |
| AETNA | ASA | $933.34 | ↑ +38% |
| HORIZON | HMO | $940.37 | ↑ +39% |
| HORIZON | PIP | $940.49 | ↑ +39% |
| CIGNA | BH | $953.60 | ↑ +41% |
| HORIZON | INDEMNITY | $953.96 | ↑ +41% |
| HORIZON | PPO | $962.30 | ↑ +42% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,013.20 | ↑ +50% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,013.20 | ↑ +50% |
| AMERIHEALTH | LOCAL HMO | $1,030.84 | ↑ +52% |
| QUALCARE | WORKERS COMP | $1,048.96 | ↑ +55% |
| AMERIHEALTH | REGIONAL HMO | $1,167.56 | ↑ +72% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +75% |
| HORIZON | MANAGED MEDICAID | $1,892.00 | ↑ +179% |
| CIGNA | HMO | $2,250.00 | ↑ +232% |
| CIGNA | PPO | $2,522.00 | ↑ +272% |
| OXFORD | ALL PRODUCTS | $4,121.00 | ↑ +508% |
| UNITED HEALTHCARE | HMO | $5,095.00 | ↑ +652% |
| QUALCARE | HMO | $6,256.00 | ↑ +823% |
| AETNA | PPO | $8,419.00 | ↑ +1143% |
| AETNA | HMO | $8,419.00 | ↑ +1143% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1366% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +1481% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $677.54 | $677.54 – $813.05 |
| Hackensack University Medical Center | Hackensack | $720.88 | $118.75 – $756.93 |
| Ocean University Medical Center | Brick | $668.98 | $115.33 – $802.78 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $678.13 | $118.75 – $678.13 |
| Jersey Shore University Medical Center | Neptune City | $677.54 | $115.33 – $813.05 |
| Palisades Medical Center | North Bergen | $720.88 | $118.75 – $785.76 |
| Raritan Bay Medical Center | Perth Amboy | $678.13 | $118.75 – $813.76 |
| Southern Ocean Medical Center | Manahawkin | $668.98 | $115.33 – $802.78 |