Inj nephrosto/ureterogram w/img exstng access at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$738.80
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.
$1,997.00
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.
$134.24 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 | $134.24 | ↓ -82% |
| AETNA | MANAGED MEDICAID | $331.50 | ↓ -55% |
| CLOVER | MEDICARE ADVANTAGE | $359.46 | ↓ -51% |
| AETNA | MEDICARE ADVANTAGE | $423.36 | ↓ -43% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $461.31 | ↓ -38% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $463.30 | ↓ -37% |
| VACCN | ALL PRODUCTS | $738.80 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $738.80 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $738.80 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $738.80 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $775.74 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $886.55 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +61% |
| BEACON | ALL PRODUCTS | $1,497.75 | ↑ +103% |
| BERGEN RISK | ALL PRODUCTS | $1,497.75 | ↑ +103% |
| HORIZON | PIP | $1,521.71 | ↑ +106% |
| QUALCARE | PPO | $1,551.67 | ↑ +110% |
| AETNA | ASA | $1,563.65 | ↑ +112% |
| HORIZON | OMNIA | $1,584.42 | ↑ +114% |
| CIGNA | BH | $1,597.60 | ↑ +116% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,697.45 | ↑ +130% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,697.45 | ↑ +130% |
| AMERIHEALTH | LOCAL HMO | $1,744.58 | ↑ +136% |
| QUALCARE | WORKERS COMP | $1,757.36 | ↑ +138% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↑ +147% |
| HORIZON | SHP | $1,938.49 | ↑ +162% |
| HORIZON | HMO | $1,948.67 | ↑ +164% |
| HORIZON | INDEMNITY | $1,970.04 | ↑ +167% |
| AMERIHEALTH | REGIONAL HMO | $1,975.83 | ↑ +167% |
| HORIZON | PPO | $1,997.00 | ↑ +170% |
| CIGNA | HMO | $3,586.00 | ↑ +385% |
| CIGNA | PPO | $4,013.00 | ↑ +443% |
| OXFORD | ALL PRODUCTS | $4,165.00 | ↑ +464% |
| UNITED HEALTHCARE | HMO | $4,973.00 | ↑ +573% |
| QUALCARE | HMO | $6,256.00 | ↑ +747% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +1276% |
| AETNA | PPO | $10,202.00 | ↑ +1281% |
| AETNA | HMO | $10,202.00 | ↑ +1281% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +1878% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Inj nephrosto/ureterogram w/img exstng access at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $738.80 | $738.80 – $886.55 |
| Hackensack University Medical Center | Hackensack | $786.05 | $135.02 – $825.36 |
| Ocean University Medical Center | Brick | $729.46 | $134.24 – $1,163.86 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $739.44 | $138.62 – $1,163.86 |
| Palisades Medical Center | North Bergen | $786.05 | $138.62 – $856.80 |
| Raritan Bay Medical Center | Perth Amboy | $739.44 | $138.62 – $887.32 |
| Riverview Medical Center | Red Bank | $738.80 | $104.44 – $886.55 |
| Southern Ocean Medical Center | Manahawkin | $729.46 | $134.24 – $875.36 |