Cysto/uretero w/lithotripsy at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$5,555.79
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.
$10,670.00
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.
$837.57 with KARNA vs $19,834.00 with UNITED HEALTHCARE — 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 | $837.57 | ↓ -85% |
| AETNA | MANAGED MEDICAID | $1,515.14 | ↓ -73% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↓ -72% |
| CLOVER | MEDICARE ADVANTAGE | $1,920.60 | ↓ -65% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,069.98 | ↓ -63% |
| AETNA | MEDICARE ADVANTAGE | $2,176.68 | ↓ -61% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -57% |
| AETNA | HMO | $3,662.00 | ↓ -34% |
| AETNA | ASA | $3,662.00 | ↓ -34% |
| AETNA | PPO | $3,662.00 | ↓ -34% |
| HORIZON | MEDICARE ADVANTAGE | $5,083.62 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $5,083.62 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $5,083.62 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $5,083.62 | ↓ -8% |
| VACCN | ALL PRODUCTS | $5,083.62 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5,337.80 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,555.79 | ↑ +0% |
| QUALCARE | HMO | $6,256.00 | ↑ +13% |
| UNITED HEALTHCARE | DSNP | $6,666.94 | ↑ +20% |
| HORIZON | OMNIA | $6,950.44 | ↑ +25% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $7,469.00 | ↑ +34% |
| INTERGROUP | SHARED SAVINGS | $7,469.00 | ↑ +34% |
| INTERGROUP | WORKERS COMP | $7,469.00 | ↑ +34% |
| HORIZON | SHP | $8,000.00 | ↑ +44% |
| BERGEN RISK | ALL PRODUCTS | $8,002.50 | ↑ +44% |
| HORIZON | PIP | $8,247.91 | ↑ +48% |
| QUALCARE | PPO | $8,290.59 | ↑ +49% |
| BRIGHTON HEALTH PLAN | PNO | $8,322.52 | ↑ +50% |
| PRIME HEALTH | AUTO INSURANCE | $8,536.00 | ↑ +54% |
| PRIME HEALTH | WORKERS COMP | $8,536.00 | ↑ +54% |
| HORIZON | HMO | $8,584.02 | ↑ +55% |
| HORIZON | INDEMNITY | $8,685.38 | ↑ +56% |
| HORIZON | PPO | $8,809.15 | ↑ +59% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $9,069.50 | ↑ +63% |
| AMERIHEALTH | LOCAL HMO | $9,167.66 | ↑ +65% |
| CIGNA | HMO | $9,178.00 | ↑ +65% |
| QUALCARE | WORKERS COMP | $9,389.60 | ↑ +69% |
| CIGNA | PPO | $9,591.26 | ↑ +73% |
| AMERIHEALTH | REGIONAL HMO | $10,384.04 | ↑ +87% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +92% |
| OXFORD | ALL PRODUCTS | $15,604.00 | ↑ +181% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,984.00 | ↑ +188% |
| UNITED HEALTHCARE | HMO | $19,834.00 | ↑ +257% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cysto/uretero w/lithotripsy at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $5,626.86 | $5,626.86 – $15,984.00 |
| Hackensack University Medical Center | Hackensack | $5,986.78 | $860.45 – $6,286.11 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $5,631.74 | $356.90 – $8,322.52 |
| Jersey Shore University Medical Center | Neptune City | $5,626.86 | $837.57 – $6,752.23 |
| Palisades Medical Center | North Bergen | $5,986.78 | $351.55 – $15,984.00 |
| Raritan Bay Medical Center | Perth Amboy | $5,631.74 | $446.13 – $15,984.00 |
| Riverview Medical Center | Red Bank | $5,626.86 | $837.57 – $15,984.00 |
| Southern Ocean Medical Center | Manahawkin | $5,555.79 | $837.57 – $15,984.00 |