Change of ureter tube/stent at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$4,350.00
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.
$4,564.00
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.
$59.53 with Horizon Blue Cross Blue Shield of New Jersey vs $4,540.00 with Aetna — 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $59.53 | ↓ -99% |
| United Healthcare | Community Plan | $843.88 | ↓ -81% |
| Fidelis Care | NJ Family Care | $859.85 | ↓ -80% |
| Aetna | Better Health | $924.21 | ↓ -79% |
| Amerihealth | Local Value | $1,922.35 | ↓ -56% |
| Cigna | Local Plus | $2,101.00 | ↓ -52% |
| Clover | Medicare Advantage | $2,238.78 | ↓ -49% |
| Humana | Medicare | $2,238.78 | ↓ -49% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $2,238.78 | ↓ -49% |
| Fidelis Care | Medicare Advantage | $2,238.78 | ↓ -49% |
| Wellpoint | Medicare Advantage | $2,238.78 | ↓ -49% |
| Aetna | Medicare | $2,238.78 | ↓ -49% |
| United Healthcare | Medicare | $2,283.56 | ↓ -48% |
| Amerihealth | Regional Preferred | $2,307.55 | ↓ -47% |
| Cigna | HMO | $2,670.00 | ↓ -39% |
| First Health | Commercial | $2,738.40 | ↓ -37% |
| Cigna | PPO | $2,812.00 | ↓ -35% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $2,914.11 | ↓ -33% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -25% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $3,343.13 | ↓ -23% |
| United Healthcare | Oxford Metro | $3,417.00 | ↓ -21% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $3,498.30 | ↓ -20% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $3,534.81 | ↓ -19% |
| United Healthcare | Nexus | $3,845.00 | ↓ -12% |
| Emblem Health | Commercial | $3,917.87 | ↓ -10% |
| Qualcare Inc | PPO/WC | $3,970.68 | ↓ -9% |
| United Healthcare | Oxford Commercial | $4,020.00 | ↓ -8% |
| Qualcare Inc | HMO/POS | $4,148.00 | ↓ -5% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $4,353.14 | ↑ +0% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $4,432.10 | ↑ +2% |
| Wellcare | Ambetter Health Commercial | $4,455.17 | ↑ +2% |
| United Healthcare | Commercial | $4,523.00 | ↑ +4% |
| Aetna | PPO | $4,540.00 | ↑ +4% |
| Aetna | HMO | $4,540.00 | ↑ +4% |
Visitor-reported prices
Comments
Change of ureter tube/stent at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $39.24 – $4,477.56 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $59.53 – $4,596.52 |
| Community Medical Center | Toms River | $3,786.00 | $59.53 – $4,455.17 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $59.53 – $4,573.54 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $40.39 – $4,596.52 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $50.78 – $4,800.78 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $59.53 – $4,512.15 |
| Bayshore Medical Center | Holmdel | $2,267.41 | $2,267.41 – $2,720.90 |