Cystouretero w/lithotripsy at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$5,626.86
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.
$9,127.00
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.
$789.85 with KARNA vs $19,888.00 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 | $789.85 | ↓ -86% |
| AETNA | MANAGED MEDICAID | $1,515.08 | ↓ -73% |
| CLOVER | MEDICARE ADVANTAGE | $1,642.86 | ↓ -71% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $1,934.92 | ↓ -66% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,108.34 | ↓ -63% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,117.46 | ↓ -62% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -58% |
| CIGNA | HMO | $4,412.00 | ↓ -22% |
| CIGNA | PPO | $4,944.00 | ↓ -12% |
| WELLCARE | MEDICARE ADVANTAGE | $5,626.86 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $5,626.86 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $5,626.86 | ↑ +0% |
| VACCN | ALL PRODUCTS | $5,626.86 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5,908.20 | ↑ +5% |
| QUALCARE | HMO | $6,256.00 | ↑ +11% |
| UNITED HEALTHCARE | DSNP | $6,752.23 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $6,845.25 | ↑ +22% |
| BEACON | ALL PRODUCTS | $6,845.25 | ↑ +22% |
| HORIZON | PIP | $6,954.77 | ↑ +24% |
| QUALCARE | PPO | $7,091.68 | ↑ +26% |
| AETNA | ASA | $7,146.44 | ↑ +27% |
| HORIZON | OMNIA | $7,241.36 | ↑ +29% |
| CIGNA | BH | $7,301.60 | ↑ +30% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $7,757.95 | ↑ +38% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,757.95 | ↑ +38% |
| AMERIHEALTH | LOCAL HMO | $7,973.35 | ↑ +42% |
| QUALCARE | WORKERS COMP | $8,031.76 | ↑ +43% |
| HORIZON | SHP | $8,859.58 | ↑ +57% |
| HORIZON | HMO | $8,906.13 | ↑ +58% |
| HORIZON | INDEMNITY | $9,003.79 | ↑ +60% |
| AMERIHEALTH | REGIONAL HMO | $9,030.25 | ↑ +60% |
| HORIZON | PPO | $9,127.00 | ↑ +62% |
| AETNA | HMO | $10,202.00 | ↑ +81% |
| AETNA | PPO | $10,202.00 | ↑ +81% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +160% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,984.00 | ↑ +184% |
| OXFORD | ALL PRODUCTS | $16,418.00 | ↑ +192% |
| UNITED HEALTHCARE | HMO | $19,888.00 | ↑ +253% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cystouretero w/lithotripsy at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $5,626.86 | $5,626.86 – $15,984.00 |
| Hackensack University Medical Center | Hackensack | $5,986.78 | $811.57 – $6,286.11 |
| Ocean University Medical Center | Brick | $5,555.79 | $789.85 – $8,322.52 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $5,631.74 | $504.00 – $8,322.52 |
| Palisades Medical Center | North Bergen | $5,986.78 | $496.44 – $15,984.00 |
| Raritan Bay Medical Center | Perth Amboy | $5,631.74 | $630.00 – $15,984.00 |
| Riverview Medical Center | Red Bank | $5,626.86 | $789.85 – $15,984.00 |
| Southern Ocean Medical Center | Manahawkin | $5,555.79 | $789.85 – $15,984.00 |