2d tte w or without fol w/con,co 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.
$1,879.00
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.
$311.91 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 | $311.91 | ↓ -64% |
| CLOVER | MEDICARE ADVANTAGE | $338.22 | ↓ -61% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $434.05 | ↓ -50% |
| 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 | $1,106.73 | ↑ +27% |
| HORIZON | MANAGED MEDICAID | $1,296.32 | ↑ +48% |
| HORIZON | WORKERS COMP | $1,357.77 | ↑ +55% |
| BEACON | ALL PRODUCTS | $1,409.25 | ↑ +61% |
| BERGEN RISK | ALL PRODUCTS | $1,409.25 | ↑ +61% |
| HORIZON | PIP | $1,431.80 | ↑ +64% |
| QUALCARE | HMO | $1,459.98 | ↑ +67% |
| QUALCARE | PPO | $1,459.98 | ↑ +67% |
| AETNA | ASA | $1,471.26 | ↑ +68% |
| HORIZON | OMNIA | $1,490.80 | ↑ +70% |
| CIGNA | BH | $1,503.20 | ↑ +72% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,597.15 | ↑ +83% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,597.15 | ↑ +83% |
| AMERIHEALTH | LOCAL HMO | $1,641.49 | ↑ +88% |
| QUALCARE | WORKERS COMP | $1,653.52 | ↑ +89% |
| AETNA | PPO | $1,691.10 | ↑ +93% |
| AETNA | HMO | $1,691.10 | ↑ +93% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,691.10 | ↑ +93% |
| CIGNA | HMO | $1,796.89 | ↑ +105% |
| CIGNA | PPO | $1,796.89 | ↑ +105% |
| HORIZON | SHP | $1,823.95 | ↑ +109% |
| HORIZON | HMO | $1,833.53 | ↑ +110% |
| HORIZON | INDEMNITY | $1,853.63 | ↑ +112% |
| AMERIHEALTH | REGIONAL HMO | $1,859.08 | ↑ +113% |
| HORIZON | PPO | $1,879.00 | ↑ +115% |
| 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 tte w or without fol w/con,co 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 |