Cystoscopy removal of clots at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$3,769.31
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.
?
What you pay up front if you don't use insurance.
$5,093.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$580.01 with KARNA vs $15,984.00 with BRIGHTON HEALTH PLAN — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $580.01 | ↓ -85% |
| AETNA | MANAGED MEDICAID | $723.21 | ↓ -81% |
| CLOVER | MEDICARE ADVANTAGE | $916.74 | ↓ -76% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $988.04 | ↓ -74% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -68% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↓ -58% |
| CIGNA | HMO | $3,137.00 | ↓ -17% |
| INTERGROUP | WORKERS COMP | $3,304.70 | ↓ -12% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,304.70 | ↓ -12% |
| INTERGROUP | SHARED SAVINGS | $3,304.70 | ↓ -12% |
| HORIZON | OMNIA | $3,317.58 | ↓ -12% |
| AETNA | MEDICARE ADVANTAGE | $3,448.97 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $3,448.97 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $3,448.97 | ↓ -8% |
| VACCN | ALL PRODUCTS | $3,448.97 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $3,448.97 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $3,448.97 | ↓ -8% |
| CIGNA | PPO | $3,511.00 | ↓ -7% |
| BERGEN RISK | ALL PRODUCTS | $3,540.75 | ↓ -6% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,621.42 | ↓ -4% |
| AETNA | PPO | $3,662.00 | ↓ -3% |
| AETNA | ASA | $3,662.00 | ↓ -3% |
| AETNA | HMO | $3,662.00 | ↓ -3% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,769.31 | ↑ +0% |
| PRIME HEALTH | WORKERS COMP | $3,776.80 | ↑ +0% |
| PRIME HEALTH | AUTO INSURANCE | $3,776.80 | ↑ +0% |
| HORIZON | PIP | $3,936.89 | ↑ +4% |
| QUALCARE | PPO | $3,957.26 | ↑ +5% |
| HORIZON | SHP | $3,971.01 | ↑ +5% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,012.85 | ↑ +6% |
| HORIZON | HMO | $4,097.32 | ↑ +9% |
| HORIZON | INDEMNITY | $4,145.70 | ↑ +10% |
| HORIZON | PPO | $4,204.78 | ↑ +12% |
| AMERIHEALTH | LOCAL HMO | $4,375.91 | ↑ +16% |
| QUALCARE | WORKERS COMP | $4,481.84 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $4,523.17 | ↑ +20% |
| AMERIHEALTH | REGIONAL HMO | $4,956.51 | ↑ +31% |
| OXFORD | ALL PRODUCTS | $6,137.00 | ↑ +63% |
| QUALCARE | HMO | $6,256.00 | ↑ +66% |
| UNITED HEALTHCARE | HMO | $7,714.00 | ↑ +105% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +183% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,984.00 | ↑ +324% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cystoscopy removal of clots at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,817.53 | $3,817.53 – $15,984.00 |
| Hackensack University Medical Center | Hackensack | $4,061.71 | $596.17 – $4,264.80 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,820.84 | $126.62 – $3,820.84 |
| Jersey Shore University Medical Center | Neptune City | $3,817.53 | $580.01 – $4,581.03 |
| Palisades Medical Center | North Bergen | $4,061.71 | $596.17 – $15,984.00 |
| Raritan Bay Medical Center | Perth Amboy | $3,820.84 | $596.17 – $15,984.00 |
| Riverview Medical Center | Red Bank | $3,817.53 | $580.01 – $15,984.00 |
| Southern Ocean Medical Center | Manahawkin | $3,769.31 | $580.01 – $15,984.00 |