Removal of urethra lesion 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.
$10,546.00
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.
$1,189.00 with UNITED HEALTHCARE 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -79% |
| KARNA | MEDICARE ADVANTAGE | $1,258.60 | ↓ -78% |
| HORIZON | MANAGED MEDICAID | $1,293.00 | ↓ -77% |
| AETNA | MANAGED MEDICAID | $1,750.64 | ↓ -69% |
| CLOVER | MEDICARE ADVANTAGE | $1,898.28 | ↓ -66% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,436.13 | ↓ -57% |
| CIGNA | HMO | $3,135.00 | ↓ -44% |
| CIGNA | PPO | $3,509.00 | ↓ -38% |
| WELLCARE | MEDICARE ADVANTAGE | $5,626.86 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $5,626.86 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,626.86 | ↑ +0% |
| VACCN | ALL PRODUCTS | $5,626.86 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $5,626.86 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5,908.20 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $6,133.27 | ↑ +9% |
| QUALCARE | HMO | $6,256.00 | ↑ +11% |
| UNITED HEALTHCARE | DSNP | $6,752.23 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $7,909.50 | ↑ +41% |
| BEACON | ALL PRODUCTS | $7,909.50 | ↑ +41% |
| HORIZON | PIP | $8,036.05 | ↑ +43% |
| QUALCARE | PPO | $8,194.24 | ↑ +46% |
| AETNA | ASA | $8,257.52 | ↑ +47% |
| HORIZON | OMNIA | $8,367.20 | ↑ +49% |
| CIGNA | BH | $8,436.80 | ↑ +50% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $8,964.10 | ↑ +59% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $8,964.10 | ↑ +59% |
| AMERIHEALTH | LOCAL HMO | $9,212.99 | ↑ +64% |
| QUALCARE | WORKERS COMP | $9,280.48 | ↑ +65% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +81% |
| AETNA | PPO | $10,202.00 | ↑ +81% |
| AETNA | HMO | $10,202.00 | ↑ +81% |
| HORIZON | SHP | $10,237.00 | ↑ +82% |
| HORIZON | HMO | $10,290.79 | ↑ +83% |
| HORIZON | INDEMNITY | $10,403.63 | ↑ +85% |
| AMERIHEALTH | REGIONAL HMO | $10,434.21 | ↑ +85% |
| HORIZON | PPO | $10,546.00 | ↑ +87% |
| OXFORD | ALL PRODUCTS | $11,680.00 | ↑ +108% |
| UNITED HEALTHCARE | HMO | $14,121.00 | ↑ +151% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +160% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Removal of urethra lesion at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $309.66 – $11,111.58 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $409.75 – $11,406.84 |
| Community Medical Center | Toms River | $3,786.00 | $419.63 – $11,056.02 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $404.82 – $11,349.81 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $318.77 – $11,406.84 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $400.74 – $11,913.69 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $809.64 – $11,197.45 |
| Bayshore Medical Center | Holmdel | $5,626.86 | $5,626.86 – $6,752.23 |