Bronchoscopy w/biopsy(s) 31625 at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$1,908.75
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.
$5,156.00
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.
$313.08 with KARNA vs $14,615.00 with HORIZON — 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 | $313.08 | ↓ -84% |
| AETNA | MANAGED MEDICAID | $855.90 | ↓ -55% |
| CLOVER | MEDICARE ADVANTAGE | $928.08 | ↓ -51% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -38% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,191.04 | ↓ -38% |
| HORIZON | MANAGED MEDICAID | $1,293.00 | ↓ -32% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $1,908.75 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,908.75 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,908.75 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,908.75 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,908.75 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,004.18 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,080.53 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,290.50 | ↑ +20% |
| CIGNA | HMO | $3,135.00 | ↑ +64% |
| CIGNA | PPO | $3,509.00 | ↑ +84% |
| BEACON | ALL PRODUCTS | $3,867.00 | ↑ +103% |
| BERGEN RISK | ALL PRODUCTS | $3,867.00 | ↑ +103% |
| HORIZON | PIP | $3,928.87 | ↑ +106% |
| QUALCARE | PPO | $4,006.21 | ↑ +110% |
| AETNA | ASA | $4,037.15 | ↑ +112% |
| HORIZON | OMNIA | $4,090.77 | ↑ +114% |
| CIGNA | BH | $4,124.80 | ↑ +116% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,382.60 | ↑ +130% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,382.60 | ↑ +130% |
| AMERIHEALTH | LOCAL HMO | $4,504.28 | ↑ +136% |
| QUALCARE | WORKERS COMP | $4,537.28 | ↑ +138% |
| HORIZON | SHP | $5,004.93 | ↑ +162% |
| HORIZON | HMO | $5,031.22 | ↑ +164% |
| HORIZON | INDEMNITY | $5,086.39 | ↑ +166% |
| AMERIHEALTH | REGIONAL HMO | $5,101.35 | ↑ +167% |
| HORIZON | PPO | $5,156.00 | ↑ +170% |
| QUALCARE | HMO | $6,256.00 | ↑ +228% |
| OXFORD | ALL PRODUCTS | $6,345.00 | ↑ +232% |
| UNITED HEALTHCARE | HMO | $7,625.00 | ↑ +299% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +432% |
| AETNA | HMO | $10,202.00 | ↑ +434% |
| AETNA | PPO | $10,202.00 | ↑ +434% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +666% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Bronchoscopy w/biopsy(s) 31625 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,908.75 | $1,908.75 – $2,290.50 |
| Hackensack University Medical Center | Hackensack | $2,030.84 | $321.76 – $2,132.38 |
| Ocean University Medical Center | Brick | $1,884.64 | $313.08 – $2,261.57 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,910.40 | $262.36 – $1,910.40 |
| Palisades Medical Center | North Bergen | $2,030.84 | $321.76 – $2,213.61 |
| Raritan Bay Medical Center | Perth Amboy | $1,910.40 | $321.76 – $2,292.48 |
| Riverview Medical Center | Red Bank | $1,908.75 | $313.08 – $2,290.50 |
| Southern Ocean Medical Center | Manahawkin | $1,884.64 | $313.08 – $2,261.57 |