Change of windpipe airway 31502 at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$257.04
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.
$845.00
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.
$71.27 with KARNA vs $12,082.00 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 | $71.27 | ↓ -72% |
| AETNA | MANAGED MEDICAID | $140.27 | ↓ -45% |
| CLOVER | MEDICARE ADVANTAGE | $152.10 | ↓ -41% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $195.20 | ↓ -24% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $257.04 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $257.04 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $257.04 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $257.04 | ↑ +0% |
| VACCN | ALL PRODUCTS | $257.04 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $269.89 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $280.17 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $308.44 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $497.71 | ↑ +94% |
| OXFORD | ALL PRODUCTS | $575.78 | ↑ +124% |
| HORIZON | MANAGED MEDICAID | $582.97 | ↑ +127% |
| BERGEN RISK | ALL PRODUCTS | $633.75 | ↑ +147% |
| BEACON | ALL PRODUCTS | $633.75 | ↑ +147% |
| HORIZON | PIP | $643.89 | ↑ +151% |
| QUALCARE | HMO | $656.57 | ↑ +155% |
| QUALCARE | PPO | $656.57 | ↑ +155% |
| AETNA | ASA | $661.64 | ↑ +157% |
| CIGNA | BH | $676.00 | ↑ +163% |
| UNITED HEALTHCARE | HMO | $718.00 | ↑ +179% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $718.25 | ↑ +179% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $718.25 | ↑ +179% |
| AMERIHEALTH | LOCAL HMO | $738.19 | ↑ +187% |
| QUALCARE | WORKERS COMP | $743.60 | ↑ +189% |
| AETNA | PPO | $760.50 | ↑ +196% |
| AETNA | HMO | $760.50 | ↑ +196% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $760.50 | ↑ +196% |
| AMERIHEALTH | REGIONAL HMO | $836.04 | ↑ +225% |
| CIGNA | HMO | $2,247.00 | ↑ +774% |
| CIGNA | PPO | $2,518.00 | ↑ +880% |
| HORIZON | OMNIA | $9,533.00 | ↑ +3609% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +3848% |
| HORIZON | SHP | $10,970.00 | ↑ +4168% |
| HORIZON | HMO | $11,776.00 | ↑ +4481% |
| HORIZON | INDEMNITY | $11,886.00 | ↑ +4524% |
| HORIZON | PPO | $12,082.00 | ↑ +4600% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Change of windpipe airway 31502 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $257.04 | $257.04 – $308.44 |
| Hackensack University Medical Center | Hackensack | $273.48 | $73.26 – $287.15 |
| Ocean University Medical Center | Brick | $253.79 | $71.27 – $304.55 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $257.26 | $56.00 – $257.26 |
| Palisades Medical Center | North Bergen | $273.48 | $55.16 – $298.09 |
| Raritan Bay Medical Center | Perth Amboy | $257.26 | $70.00 – $308.71 |
| Riverview Medical Center | Red Bank | $257.04 | $71.27 – $308.44 |
| Southern Ocean Medical Center | Manahawkin | $253.79 | $71.27 – $304.55 |