Part hymenectomy/revi hymenal ring 56700 at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$3,519.29
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.
$6,435.00
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.
$425.76 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 | $425.76 | ↓ -88% |
| HORIZON | MANAGED MEDICAID | $983.00 | ↓ -72% |
| AETNA | MANAGED MEDICAID | $1,068.21 | ↓ -70% |
| CLOVER | MEDICARE ADVANTAGE | $1,158.30 | ↓ -67% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -66% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,486.49 | ↓ -58% |
| CIGNA | HMO | $2,247.00 | ↓ -36% |
| CIGNA | PPO | $2,518.00 | ↓ -28% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,519.29 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $3,519.29 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,519.29 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,519.29 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,519.29 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,695.26 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,836.03 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4,223.15 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $4,826.25 | ↑ +37% |
| BEACON | ALL PRODUCTS | $4,826.25 | ↑ +37% |
| HORIZON | PIP | $4,903.47 | ↑ +39% |
| QUALCARE | PPO | $5,000.00 | ↑ +42% |
| AETNA | ASA | $5,038.61 | ↑ +43% |
| HORIZON | OMNIA | $5,105.53 | ↑ +45% |
| CIGNA | BH | $5,148.00 | ↑ +46% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,469.75 | ↑ +55% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $5,469.75 | ↑ +55% |
| AMERIHEALTH | LOCAL HMO | $5,621.62 | ↑ +60% |
| QUALCARE | WORKERS COMP | $5,662.80 | ↑ +61% |
| HORIZON | SHP | $6,246.45 | ↑ +77% |
| QUALCARE | HMO | $6,256.00 | ↑ +78% |
| HORIZON | HMO | $6,279.27 | ↑ +78% |
| HORIZON | INDEMNITY | $6,348.13 | ↑ +80% |
| AMERIHEALTH | REGIONAL HMO | $6,366.79 | ↑ +81% |
| HORIZON | PPO | $6,435.00 | ↑ +83% |
| OXFORD | ALL PRODUCTS | $8,522.00 | ↑ +142% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +189% |
| AETNA | HMO | $10,202.00 | ↑ +190% |
| AETNA | PPO | $10,202.00 | ↑ +190% |
| UNITED HEALTHCARE | HMO | $10,276.00 | ↑ +192% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +315% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Part hymenectomy/revi hymenal ring 56700 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $104.75 – $6,949.68 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $96.41 – $7,134.36 |
| Community Medical Center | Toms River | $3,786.00 | $98.74 – $6,914.93 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $95.25 – $7,098.69 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $107.84 – $7,134.36 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $104.54 – $7,451.38 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $190.50 – $7,003.39 |
| Bayshore Medical Center | Holmdel | $3,519.29 | $3,519.29 – $4,223.15 |