Ligation/divis of long saph vein 37700 at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$3,483.84
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.
$6,699.00
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.
$499.73 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 | $499.73 | ↓ -86% |
| AETNA | MANAGED MEDICAID | $1,112.03 | ↓ -68% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -66% |
| CLOVER | MEDICARE ADVANTAGE | $1,205.82 | ↓ -65% |
| HORIZON | MANAGED MEDICAID | $1,293.00 | ↓ -63% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,547.47 | ↓ -56% |
| CIGNA | HMO | $3,135.00 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $3,483.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,483.84 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| CIGNA | PPO | $3,509.00 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,658.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,797.39 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4,180.61 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $5,024.25 | ↑ +44% |
| BEACON | ALL PRODUCTS | $5,024.25 | ↑ +44% |
| HORIZON | PIP | $5,104.64 | ↑ +47% |
| QUALCARE | PPO | $5,205.12 | ↑ +49% |
| AETNA | ASA | $5,245.32 | ↑ +51% |
| HORIZON | OMNIA | $5,314.99 | ↑ +53% |
| CIGNA | BH | $5,359.20 | ↑ +54% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,694.15 | ↑ +63% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $5,694.15 | ↑ +63% |
| AMERIHEALTH | LOCAL HMO | $5,852.25 | ↑ +68% |
| QUALCARE | WORKERS COMP | $5,895.12 | ↑ +69% |
| QUALCARE | HMO | $6,256.00 | ↑ +80% |
| HORIZON | SHP | $6,502.72 | ↑ +87% |
| HORIZON | HMO | $6,536.88 | ↑ +88% |
| HORIZON | INDEMNITY | $6,608.56 | ↑ +90% |
| AMERIHEALTH | REGIONAL HMO | $6,627.99 | ↑ +90% |
| HORIZON | PPO | $6,699.00 | ↑ +92% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +192% |
| AETNA | HMO | $10,202.00 | ↑ +193% |
| AETNA | PPO | $10,202.00 | ↑ +193% |
| OXFORD | ALL PRODUCTS | $11,680.00 | ↑ +235% |
| UNITED HEALTHCARE | HMO | $14,121.00 | ↑ +305% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +320% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ligation/divis of long saph vein 37700 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $122.95 – $6,879.68 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $193.72 – $7,062.48 |
| Community Medical Center | Toms River | $3,786.00 | $198.39 – $6,845.28 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $191.39 – $7,027.17 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $126.57 – $7,062.48 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $159.11 – $7,376.29 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $382.78 – $6,932.84 |
| Bayshore Medical Center | Holmdel | $3,483.84 | $3,483.84 – $4,180.61 |