Colonoscopy/w endoscopic stent 45389 at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$6,588.93
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.
$9,502.00
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.
$585.20 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 | $585.20 | ↓ -91% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -82% |
| AETNA | MANAGED MEDICAID | $1,577.33 | ↓ -76% |
| CLOVER | MEDICARE ADVANTAGE | $1,710.36 | ↓ -74% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↓ -72% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,194.96 | ↓ -67% |
| CIGNA | HMO | $4,412.00 | ↓ -33% |
| CIGNA | PPO | $4,944.00 | ↓ -25% |
| QUALCARE | HMO | $6,256.00 | ↓ -5% |
| OXFORD | ALL PRODUCTS | $6,345.00 | ↓ -4% |
| WELLCARE | MANAGED MEDICAID | $6,588.93 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $6,588.93 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $6,588.93 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $6,588.93 | ↑ +0% |
| VACCN | ALL PRODUCTS | $6,588.93 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $6,918.37 | ↑ +5% |
| BERGEN RISK | ALL PRODUCTS | $7,126.50 | ↑ +8% |
| BEACON | ALL PRODUCTS | $7,126.50 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $7,181.93 | ↑ +9% |
| HORIZON | PIP | $7,240.52 | ↑ +10% |
| QUALCARE | PPO | $7,383.05 | ↑ +12% |
| AETNA | ASA | $7,440.07 | ↑ +13% |
| HORIZON | OMNIA | $7,538.89 | ↑ +14% |
| CIGNA | BH | $7,601.60 | ↑ +15% |
| UNITED HEALTHCARE | HMO | $7,625.00 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $7,906.71 | ↑ +20% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $8,076.70 | ↑ +23% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $8,076.70 | ↑ +23% |
| AMERIHEALTH | LOCAL HMO | $8,300.95 | ↑ +26% |
| QUALCARE | WORKERS COMP | $8,361.76 | ↑ +27% |
| HORIZON | SHP | $9,223.59 | ↑ +40% |
| HORIZON | HMO | $9,272.05 | ↑ +41% |
| HORIZON | INDEMNITY | $9,373.72 | ↑ +42% |
| AMERIHEALTH | REGIONAL HMO | $9,401.28 | ↑ +43% |
| HORIZON | PPO | $9,502.00 | ↑ +44% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +54% |
| AETNA | HMO | $10,202.00 | ↑ +55% |
| AETNA | PPO | $10,202.00 | ↑ +55% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +122% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Colonoscopy/w endoscopic stent 45389 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $6,588.93 | $6,588.93 – $7,906.71 |
| Hackensack University Medical Center | Hackensack | $7,010.39 | $602.46 – $7,360.91 |
| Ocean University Medical Center | Brick | $6,505.71 | $585.20 – $7,806.85 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $6,594.64 | $370.70 – $6,594.64 |
| Palisades Medical Center | North Bergen | $7,010.39 | $365.14 – $7,641.32 |
| Raritan Bay Medical Center | Perth Amboy | $6,594.64 | $602.46 – $7,913.57 |
| Riverview Medical Center | Red Bank | $6,588.93 | $585.20 – $7,906.71 |
| Southern Ocean Medical Center | Manahawkin | $6,505.71 | $585.20 – $7,806.85 |