Biliary endoscopy thru skin at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$6,906.53
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.
not published by hospital
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.
$553.21 with KARNA vs $8,287.84 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 | $553.21 | ↓ -92% |
| VACCN | ALL PRODUCTS | $6,906.53 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $6,906.53 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $6,906.53 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $6,906.53 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $6,906.53 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $7,251.86 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $7,528.12 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $8,287.84 | ↑ +20% |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $6,906.53 | $6,906.53 – $8,287.84 |
| Hackensack University Medical Center | Hackensack | $7,348.30 | $212.78 – $8,748.99 |
| Ocean University Medical Center | Brick | $6,819.30 | $553.21 – $8,183.16 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $6,912.52 | $564.72 – $6,912.52 |
| Palisades Medical Center | North Bergen | $7,348.30 | $564.72 – $8,009.65 |
| Raritan Bay Medical Center | Perth Amboy | $6,912.52 | $564.72 – $8,295.02 |
| Riverview Medical Center | Red Bank | $6,906.53 | $553.21 – $8,287.84 |
| Southern Ocean Medical Center | Manahawkin | $6,819.30 | $553.21 – $8,183.16 |