Cystouretero 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.
$9,127.00
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.
$789.85 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 | $789.85 | ↓ -86% |
| AETNA | MANAGED MEDICAID | $1,277.15 | ↓ -77% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↓ -72% |
| CLOVER | MEDICARE ADVANTAGE | $1,618.92 | ↓ -71% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,744.84 | ↓ -69% |
| AETNA | MEDICARE ADVANTAGE | $1,834.78 | ↓ -67% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -57% |
| AETNA | ASA | $3,662.00 | ↓ -34% |
| AETNA | PPO | $3,662.00 | ↓ -34% |
| AETNA | HMO | $3,662.00 | ↓ -34% |
| CIGNA | HMO | $4,414.00 | ↓ -21% |
| CIGNA | PPO | $4,945.00 | ↓ -11% |
| VACCN | ALL PRODUCTS | $5,083.62 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $5,083.62 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $5,083.62 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $5,083.62 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $5,083.62 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5,337.80 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,555.79 | ↑ +0% |
| HORIZON | OMNIA | $5,858.69 | ↑ +5% |
| QUALCARE | HMO | $6,256.00 | ↑ +13% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $6,388.90 | ↑ +15% |
| INTERGROUP | SHARED SAVINGS | $6,388.90 | ↑ +15% |
| INTERGROUP | WORKERS COMP | $6,388.90 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $6,666.94 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $6,745.50 | ↑ +21% |
| HORIZON | PIP | $6,952.36 | ↑ +25% |
| QUALCARE | PPO | $6,988.34 | ↑ +26% |
| HORIZON | SHP | $7,012.62 | ↑ +26% |
| HORIZON | HMO | $7,235.67 | ↑ +30% |
| PRIME HEALTH | AUTO INSURANCE | $7,301.60 | ↑ +31% |
| PRIME HEALTH | WORKERS COMP | $7,301.60 | ↑ +31% |
| HORIZON | INDEMNITY | $7,321.12 | ↑ +32% |
| HORIZON | PPO | $7,425.45 | ↑ +34% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,644.90 | ↑ +38% |
| AMERIHEALTH | LOCAL HMO | $7,727.64 | ↑ +39% |
| QUALCARE | WORKERS COMP | $7,914.72 | ↑ +42% |
| BRIGHTON HEALTH PLAN | PNO | $8,322.52 | ↑ +50% |
| AMERIHEALTH | REGIONAL HMO | $8,752.96 | ↑ +58% |
| 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
Cystouretero 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 | $811.57 – $6,286.11 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $5,631.74 | $504.00 – $8,322.52 |
| Jersey Shore University Medical Center | Neptune City | $5,626.86 | $789.85 – $6,752.23 |
| Palisades Medical Center | North Bergen | $5,986.78 | $496.44 – $15,984.00 |
| Raritan Bay Medical Center | Perth Amboy | $5,631.74 | $630.00 – $15,984.00 |
| Riverview Medical Center | Red Bank | $5,626.86 | $789.85 – $15,984.00 |
| Southern Ocean Medical Center | Manahawkin | $5,555.79 | $789.85 – $15,984.00 |