Laryngoscopy w/biopsy at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$4,080.94
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.
?
What you pay up front if you don't use insurance.
$5,830.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$388.09 with KARNA vs $14,615.00 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $388.09 | ↓ -90% |
| AETNA | MANAGED MEDICAID | $967.78 | ↓ -76% |
| CLOVER | MEDICARE ADVANTAGE | $1,049.40 | ↓ -74% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -71% |
| HORIZON | MANAGED MEDICAID | $1,293.00 | ↓ -68% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,346.73 | ↓ -67% |
| CIGNA | HMO | $3,135.00 | ↓ -23% |
| CIGNA | PPO | $3,509.00 | ↓ -14% |
| VACCN | ALL PRODUCTS | $4,080.94 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $4,080.94 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $4,080.94 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,080.94 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4,080.94 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,284.98 | ↑ +5% |
| BEACON | ALL PRODUCTS | $4,372.50 | ↑ +7% |
| BERGEN RISK | ALL PRODUCTS | $4,372.50 | ↑ +7% |
| HORIZON | PIP | $4,442.46 | ↑ +9% |
| AETNA | MEDICARE ADVANTAGE | $4,448.22 | ↑ +9% |
| QUALCARE | PPO | $4,529.91 | ↑ +11% |
| AETNA | ASA | $4,564.89 | ↑ +12% |
| HORIZON | OMNIA | $4,625.52 | ↑ +13% |
| CIGNA | BH | $4,664.00 | ↑ +14% |
| UNITED HEALTHCARE | DSNP | $4,897.13 | ↑ +20% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,955.50 | ↑ +21% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,955.50 | ↑ +21% |
| AMERIHEALTH | LOCAL HMO | $5,093.09 | ↑ +25% |
| QUALCARE | WORKERS COMP | $5,130.40 | ↑ +26% |
| HORIZON | SHP | $5,659.18 | ↑ +39% |
| HORIZON | HMO | $5,688.91 | ↑ +39% |
| HORIZON | INDEMNITY | $5,751.30 | ↑ +41% |
| AMERIHEALTH | REGIONAL HMO | $5,768.20 | ↑ +41% |
| HORIZON | PPO | $5,830.00 | ↑ +43% |
| QUALCARE | HMO | $6,256.00 | ↑ +53% |
| OXFORD | ALL PRODUCTS | $8,522.00 | ↑ +109% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +149% |
| AETNA | HMO | $10,202.00 | ↑ +150% |
| AETNA | PPO | $10,202.00 | ↑ +150% |
| UNITED HEALTHCARE | HMO | $10,276.00 | ↑ +152% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +258% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Laryngoscopy w/biopsy at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $95.48 – $8,058.78 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $141.76 – $8,272.92 |
| Community Medical Center | Toms River | $3,786.00 | $145.18 – $8,018.49 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $140.06 – $8,231.56 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $98.29 – $8,272.92 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $123.57 – $8,640.52 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $280.11 – $8,121.07 |
| Bayshore Medical Center | Holmdel | $4,080.94 | $4,080.94 – $4,897.13 |