Athrectomy fem/pop/unilateral 37225 at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$19,875.58
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.
$19,250.00
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.
$1,187.08 with KARNA vs $27,512.00 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 | $1,187.08 | ↓ -94% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -88% |
| AETNA | MANAGED MEDICAID | $3,195.50 | ↓ -84% |
| CLOVER | MEDICARE ADVANTAGE | $3,465.00 | ↓ -83% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $4,446.75 | ↓ -78% |
| HORIZON | OMNIA | $10,075.00 | ↓ -49% |
| HORIZON | SHP | $11,486.00 | ↓ -42% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,920.00 | ↓ -40% |
| HORIZON | HMO | $12,442.00 | ↓ -37% |
| HORIZON | INDEMNITY | $12,559.00 | ↓ -37% |
| HORIZON | PPO | $12,766.00 | ↓ -36% |
| HORIZON | MANAGED MEDICAID | $13,280.58 | ↓ -33% |
| BEACON | ALL PRODUCTS | $14,057.00 | ↓ -29% |
| AETNA | HMO | $14,323.00 | ↓ -28% |
| AETNA | PPO | $14,323.00 | ↓ -28% |
| BERGEN RISK | ALL PRODUCTS | $14,437.50 | ↓ -27% |
| HORIZON | WORKERS COMP | $14,615.00 | ↓ -26% |
| HORIZON | PIP | $14,668.50 | ↓ -26% |
| QUALCARE | PPO | $14,957.25 | ↓ -25% |
| QUALCARE | HMO | $14,957.25 | ↓ -25% |
| AETNA | ASA | $15,072.75 | ↓ -24% |
| CIGNA | BH | $15,400.00 | ↓ -23% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $16,362.50 | ↓ -18% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $16,362.50 | ↓ -18% |
| AMERIHEALTH | LOCAL HMO | $16,816.80 | ↓ -15% |
| QUALCARE | WORKERS COMP | $16,940.00 | ↓ -15% |
| CIGNA | PPO | $18,408.78 | ↓ -7% |
| CIGNA | HMO | $18,408.78 | ↓ -7% |
| AMERIHEALTH | REGIONAL HMO | $19,045.95 | ↓ -4% |
| WELLCARE | MEDICARE ADVANTAGE | $19,875.58 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $19,875.58 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $19,875.58 | ↑ +0% |
| VACCN | ALL PRODUCTS | $19,875.58 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $19,875.58 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $20,869.35 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $21,664.38 | ↑ +9% |
| OXFORD | ALL PRODUCTS | $22,680.00 | ↑ +14% |
| UNITED HEALTHCARE | DSNP | $23,850.69 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $27,512.00 | ↑ +38% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Athrectomy fem/pop/unilateral 37225 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $19,875.58 | $19,875.58 – $23,850.69 |
| Hackensack University Medical Center | Hackensack | $21,146.91 | $1,210.96 – $22,204.26 |
| Ocean University Medical Center | Brick | $19,624.54 | $1,187.08 – $23,549.45 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $19,892.81 | $1,210.96 – $19,892.81 |
| Palisades Medical Center | North Bergen | $21,146.91 | $1,210.96 – $23,050.13 |
| Raritan Bay Medical Center | Perth Amboy | $19,892.81 | $1,210.96 – $23,871.38 |
| Riverview Medical Center | Red Bank | $19,875.58 | $1,187.08 – $23,850.69 |
| Southern Ocean Medical Center | Manahawkin | $19,624.54 | $1,187.08 – $23,549.45 |