Aco annual medicare visit (awv), subsq g0439aco at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$160.69
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.
$410.00
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.
$68.06 with AETNA vs $410.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $68.06 | ↓ -58% |
| CLOVER | MEDICARE ADVANTAGE | $73.80 | ↓ -54% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $94.71 | ↓ -41% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $95.12 | ↓ -41% |
| OPTUM HEALTH | MANAGED MEDICAID | $128.55 | ↓ -20% |
| AMERIGROUP | MANAGED MEDICAID | $160.69 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $160.69 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $160.69 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $160.69 | ↑ +0% |
| VACCN | ALL PRODUCTS | $160.69 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $168.72 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $175.15 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $192.83 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $228.47 | ↑ +42% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $241.49 | ↑ +50% |
| OXFORD | ALL PRODUCTS | $279.37 | ↑ +74% |
| HORIZON | MANAGED MEDICAID | $282.86 | ↑ +76% |
| HORIZON | WORKERS COMP | $296.27 | ↑ +84% |
| BEACON | ALL PRODUCTS | $307.50 | ↑ +91% |
| BERGEN RISK | ALL PRODUCTS | $307.50 | ↑ +91% |
| HORIZON | PIP | $312.42 | ↑ +94% |
| QUALCARE | PPO | $318.57 | ↑ +98% |
| QUALCARE | HMO | $318.57 | ↑ +98% |
| AETNA | ASA | $321.03 | ↑ +100% |
| HORIZON | OMNIA | $325.29 | ↑ +102% |
| CIGNA | BH | $328.00 | ↑ +104% |
| UNITED HEALTHCARE | HMO | $348.38 | ↑ +117% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $348.50 | ↑ +117% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $348.50 | ↑ +117% |
| AMERIHEALTH | LOCAL HMO | $358.18 | ↑ +123% |
| QUALCARE | WORKERS COMP | $360.80 | ↑ +125% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $369.00 | ↑ +130% |
| AETNA | HMO | $369.00 | ↑ +130% |
| AETNA | PPO | $369.00 | ↑ +130% |
| CIGNA | PPO | $392.08 | ↑ +144% |
| CIGNA | HMO | $392.08 | ↑ +144% |
| HORIZON | SHP | $397.99 | ↑ +148% |
| HORIZON | HMO | $400.08 | ↑ +149% |
| HORIZON | INDEMNITY | $404.47 | ↑ +152% |
| AMERIHEALTH | REGIONAL HMO | $405.65 | ↑ +152% |
| HORIZON | PPO | $410.00 | ↑ +155% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Aco annual medicare visit (awv), subsq g0439aco at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $160.69 | $160.69 – $237.19 |
| Palisades Medical Center | North Bergen | $160.69 | $160.69 – $237.19 |
| Raritan Bay Medical Center | Perth Amboy | $160.69 | $160.69 – $237.19 |
| Riverview Medical Center | Red Bank | $160.69 | $160.69 – $228.47 |
| Southern Ocean Medical Center | Manahawkin | $160.69 | $160.69 – $228.47 |