Av fistula revision at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$5,983.35
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.
$12,953.00
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.
$1,622.49 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 | $1,622.49 | ↓ -73% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↓ -69% |
| AETNA | MANAGED MEDICAID | $2,150.20 | ↓ -64% |
| CLOVER | MEDICARE ADVANTAGE | $2,331.54 | ↓ -61% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,992.14 | ↓ -50% |
| CIGNA | HMO | $4,412.00 | ↓ -26% |
| CIGNA | PPO | $4,944.00 | ↓ -17% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,983.35 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $5,983.35 | ↑ +0% |
| VACCN | ALL PRODUCTS | $5,983.35 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $5,983.35 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $5,983.35 | ↑ +0% |
| QUALCARE | HMO | $6,256.00 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $6,282.52 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $6,521.85 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $7,180.02 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $9,714.75 | ↑ +62% |
| BEACON | ALL PRODUCTS | $9,714.75 | ↑ +62% |
| HORIZON | PIP | $9,870.19 | ↑ +65% |
| QUALCARE | PPO | $10,064.48 | ↑ +68% |
| HORIZON | OMNIA | $10,075.00 | ↑ +68% |
| AETNA | ASA | $10,142.20 | ↑ +70% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +70% |
| AETNA | PPO | $10,202.00 | ↑ +71% |
| AETNA | HMO | $10,202.00 | ↑ +71% |
| CIGNA | BH | $10,362.40 | ↑ +73% |
| QUALCARE | WORKERS COMP | $10,822.00 | ↑ +81% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $11,010.05 | ↑ +84% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $11,010.05 | ↑ +84% |
| AMERIHEALTH | LOCAL HMO | $11,315.74 | ↑ +89% |
| HORIZON | SHP | $11,486.00 | ↑ +92% |
| HORIZON | HMO | $12,442.00 | ↑ +108% |
| HORIZON | INDEMNITY | $12,559.00 | ↑ +110% |
| HORIZON | PPO | $12,766.00 | ↑ +113% |
| AMERIHEALTH | REGIONAL HMO | $12,815.70 | ↑ +114% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +144% |
| OXFORD | ALL PRODUCTS | $19,413.00 | ↑ +224% |
| UNITED HEALTHCARE | HMO | $23,535.00 | ↑ +293% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Av fistula revision at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $5,983.35 | $5,983.35 – $7,180.02 |
| Hackensack University Medical Center | Hackensack | $6,366.08 | $1,658.35 – $6,684.38 |
| Ocean University Medical Center | Brick | $5,907.78 | $1,622.49 – $7,089.34 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $5,988.54 | $613.72 – $5,988.54 |
| Palisades Medical Center | North Bergen | $6,366.08 | $1,658.35 – $6,939.02 |
| Raritan Bay Medical Center | Perth Amboy | $5,988.54 | $1,658.35 – $7,186.25 |
| Riverview Medical Center | Red Bank | $5,983.35 | $1,622.49 – $7,180.02 |
| Southern Ocean Medical Center | Manahawkin | $5,907.78 | $1,622.49 – $7,089.34 |