Biliary endoscopy thru skin at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$11,523.76
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.
$12,615.00
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.
$746.65 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 | $746.65 | ↓ -94% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↓ -84% |
| AETNA | MANAGED MEDICAID | $2,094.09 | ↓ -82% |
| CLOVER | MEDICARE ADVANTAGE | $2,270.70 | ↓ -80% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -79% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,914.07 | ↓ -75% |
| QUALCARE | HMO | $6,256.00 | ↓ -46% |
| BEACON | ALL PRODUCTS | $9,461.25 | ↓ -18% |
| BERGEN RISK | ALL PRODUCTS | $9,461.25 | ↓ -18% |
| HORIZON | PIP | $9,612.63 | ↓ -17% |
| QUALCARE | PPO | $9,801.86 | ↓ -15% |
| AETNA | ASA | $9,877.55 | ↓ -14% |
| HORIZON | OMNIA | $10,008.74 | ↓ -13% |
| CIGNA | BH | $10,092.00 | ↓ -12% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↓ -12% |
| AETNA | PPO | $10,202.00 | ↓ -11% |
| AETNA | HMO | $10,202.00 | ↓ -11% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $10,722.75 | ↓ -7% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $10,722.75 | ↓ -7% |
| QUALCARE | WORKERS COMP | $10,822.00 | ↓ -6% |
| AMERIHEALTH | LOCAL HMO | $11,020.46 | ↓ -4% |
| CIGNA | HMO | $11,339.62 | ↓ -2% |
| CIGNA | PPO | $11,339.62 | ↓ -2% |
| HORIZON | SHP | $11,486.00 | ↓ -0% |
| WELLCARE | MEDICARE ADVANTAGE | $11,523.76 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $11,523.76 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $11,523.76 | ↑ +0% |
| VACCN | ALL PRODUCTS | $11,523.76 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $11,523.76 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $12,099.95 | ↑ +5% |
| HORIZON | HMO | $12,309.72 | ↑ +7% |
| HORIZON | INDEMNITY | $12,444.70 | ↑ +8% |
| AMERIHEALTH | REGIONAL HMO | $12,481.28 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $12,560.90 | ↑ +9% |
| HORIZON | PPO | $12,615.00 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $13,828.52 | ↑ +20% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +27% |
| OXFORD | ALL PRODUCTS | $19,413.00 | ↑ +68% |
| UNITED HEALTHCARE | HMO | $23,535.00 | ↑ +104% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $11,523.76 | $11,523.76 – $13,828.52 |
| Hackensack University Medical Center | Hackensack | $12,260.88 | $762.10 – $12,873.92 |
| Ocean University Medical Center | Brick | $11,378.21 | $746.65 – $13,653.86 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $11,533.76 | $762.10 – $11,533.76 |
| Palisades Medical Center | North Bergen | $12,260.88 | $762.10 – $13,364.36 |
| Raritan Bay Medical Center | Perth Amboy | $11,533.76 | $762.10 – $13,840.51 |
| Riverview Medical Center | Red Bank | $11,523.76 | $746.65 – $13,828.52 |
| Southern Ocean Medical Center | Manahawkin | $11,378.21 | $746.65 – $13,653.86 |