2d tee w or without fol w/con,in at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$874.49
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.
$2,315.00
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.
$384.29 with AETNA vs $3,336.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $384.29 | ↓ -56% |
| CLOVER | MEDICARE ADVANTAGE | $416.70 | ↓ -52% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $534.77 | ↓ -39% |
| WELLCARE | MANAGED MEDICAID | $874.49 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $874.49 | ↑ +0% |
| VACCN | ALL PRODUCTS | $874.49 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $874.49 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $874.49 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $918.21 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $953.19 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,049.38 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,363.54 | ↑ +56% |
| HORIZON | MANAGED MEDICAID | $1,597.12 | ↑ +83% |
| HORIZON | WORKERS COMP | $1,672.82 | ↑ +91% |
| BEACON | ALL PRODUCTS | $1,736.25 | ↑ +99% |
| BERGEN RISK | ALL PRODUCTS | $1,736.25 | ↑ +99% |
| HORIZON | PIP | $1,764.03 | ↑ +102% |
| QUALCARE | HMO | $1,798.76 | ↑ +106% |
| QUALCARE | PPO | $1,798.76 | ↑ +106% |
| AETNA | ASA | $1,812.65 | ↑ +107% |
| HORIZON | OMNIA | $1,836.72 | ↑ +110% |
| CIGNA | BH | $1,852.00 | ↑ +112% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,967.75 | ↑ +125% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,967.75 | ↑ +125% |
| AMERIHEALTH | LOCAL HMO | $2,022.38 | ↑ +131% |
| QUALCARE | WORKERS COMP | $2,037.20 | ↑ +133% |
| AETNA | PPO | $2,083.50 | ↑ +138% |
| AETNA | HMO | $2,083.50 | ↑ +138% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,083.50 | ↑ +138% |
| CIGNA | HMO | $2,213.83 | ↑ +153% |
| CIGNA | PPO | $2,213.83 | ↑ +153% |
| HORIZON | SHP | $2,247.17 | ↑ +157% |
| HORIZON | HMO | $2,258.98 | ↑ +158% |
| HORIZON | INDEMNITY | $2,283.75 | ↑ +161% |
| AMERIHEALTH | REGIONAL HMO | $2,290.46 | ↑ +162% |
| HORIZON | PPO | $2,315.00 | ↑ +165% |
| OXFORD | ALL PRODUCTS | $2,376.00 | ↑ +172% |
| UNITED HEALTHCARE | HMO | $3,336.00 | ↑ +281% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
2d tee w or without fol w/con,in at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $875.24 | $790.06 – $1,839.00 |
| Palisades Medical Center | North Bergen | $930.42 | $930.42 – $3,541.00 |
| Raritan Bay Medical Center | Perth Amboy | $875.24 | $875.24 – $2,209.00 |
| Riverview Medical Center | Red Bank | $874.49 | $874.49 – $2,291.00 |
| Southern Ocean Medical Center | Manahawkin | $863.44 | $863.44 – $2,336.00 |