Angioplasty/iliac/init ves/unilat 37220 at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$6,310.78
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.
$13,874.00
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.
$793.37 with KARNA vs $23,535.00 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 | $793.37 | ↓ -87% |
| AETNA | MANAGED MEDICAID | $2,303.08 | ↓ -64% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -62% |
| CLOVER | MEDICARE ADVANTAGE | $2,497.32 | ↓ -60% |
| AETNA | MEDICARE ADVANTAGE | $2,941.29 | ↓ -53% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,204.89 | ↓ -49% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,218.77 | ↓ -49% |
| WELLCARE | MANAGED MEDICAID | $6,310.78 | ↑ +0% |
| VACCN | ALL PRODUCTS | $6,310.78 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $6,310.78 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $6,310.78 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $6,626.32 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $7,572.94 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $9,571.67 | ↑ +52% |
| HORIZON | OMNIA | $10,075.00 | ↑ +60% |
| BEACON | ALL PRODUCTS | $10,405.50 | ↑ +65% |
| BERGEN RISK | ALL PRODUCTS | $10,405.50 | ↑ +65% |
| HORIZON | PIP | $10,571.99 | ↑ +68% |
| QUALCARE | PPO | $10,780.10 | ↑ +71% |
| QUALCARE | HMO | $10,780.10 | ↑ +71% |
| AETNA | ASA | $10,863.34 | ↑ +72% |
| CIGNA | BH | $11,099.20 | ↑ +76% |
| HORIZON | SHP | $11,486.00 | ↑ +82% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $11,792.90 | ↑ +87% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $11,792.90 | ↑ +87% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,920.00 | ↑ +89% |
| AMERIHEALTH | LOCAL HMO | $12,120.33 | ↑ +92% |
| QUALCARE | WORKERS COMP | $12,209.12 | ↑ +93% |
| HORIZON | HMO | $12,442.00 | ↑ +97% |
| HORIZON | INDEMNITY | $12,559.00 | ↑ +99% |
| HORIZON | PPO | $12,766.00 | ↑ +102% |
| CIGNA | PPO | $13,267.71 | ↑ +110% |
| CIGNA | HMO | $13,267.71 | ↑ +110% |
| AMERIHEALTH | REGIONAL HMO | $13,726.94 | ↑ +118% |
| AETNA | HMO | $14,323.00 | ↑ +127% |
| AETNA | PPO | $14,323.00 | ↑ +127% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +132% |
| OXFORD | ALL PRODUCTS | $19,413.00 | ↑ +208% |
| UNITED HEALTHCARE | HMO | $23,535.00 | ↑ +273% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Angioplasty/iliac/init ves/unilat 37220 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $6,310.78 | $6,310.78 – $7,572.94 |
| Hackensack University Medical Center | Hackensack | $6,714.45 | $808.94 – $7,050.17 |
| Ocean University Medical Center | Brick | $6,231.08 | $793.37 – $14,806.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $6,316.26 | $808.94 – $14,806.00 |
| Palisades Medical Center | North Bergen | $6,714.45 | $808.94 – $7,318.75 |
| Raritan Bay Medical Center | Perth Amboy | $6,316.26 | $808.94 – $7,765.76 |
| Riverview Medical Center | Red Bank | $6,310.78 | $793.37 – $7,572.94 |
| Southern Ocean Medical Center | Manahawkin | $6,231.08 | $793.37 – $7,477.29 |