Alys cplx sp/pn npgt w/prgrm at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$101.60
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.
$705.00
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.
$65.42 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 | $65.42 | ↓ -36% |
| WELLCARE | MEDICARE ADVANTAGE | $101.60 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $101.60 | ↑ +0% |
| VACCN | ALL PRODUCTS | $101.60 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $101.60 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $101.60 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $106.68 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $110.74 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $117.03 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $121.92 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $126.90 | ↑ +25% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $162.86 | ↑ +60% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $415.25 | ↑ +309% |
| OXFORD | ALL PRODUCTS | $480.39 | ↑ +373% |
| BEACON | ALL PRODUCTS | $528.75 | ↑ +420% |
| BERGEN RISK | ALL PRODUCTS | $528.75 | ↑ +420% |
| HORIZON | PIP | $537.21 | ↑ +429% |
| QUALCARE | PPO | $547.79 | ↑ +439% |
| AETNA | ASA | $552.02 | ↑ +443% |
| HORIZON | OMNIA | $559.35 | ↑ +451% |
| CIGNA | BH | $564.00 | ↑ +455% |
| UNITED HEALTHCARE | HMO | $599.04 | ↑ +490% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $599.25 | ↑ +490% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $599.25 | ↑ +490% |
| AMERIHEALTH | LOCAL HMO | $615.89 | ↑ +506% |
| QUALCARE | WORKERS COMP | $620.40 | ↑ +511% |
| CIGNA | HMO | $674.19 | ↑ +564% |
| CIGNA | PPO | $674.19 | ↑ +564% |
| HORIZON | SHP | $684.34 | ↑ +574% |
| HORIZON | HMO | $687.94 | ↑ +577% |
| HORIZON | INDEMNITY | $695.48 | ↑ +585% |
| AMERIHEALTH | REGIONAL HMO | $697.53 | ↑ +587% |
| HORIZON | PPO | $705.00 | ↑ +594% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↑ +1698% |
| QUALCARE | HMO | $6,256.00 | ↑ +6057% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +9903% |
| AETNA | PPO | $10,202.00 | ↑ +9941% |
| AETNA | HMO | $10,202.00 | ↑ +9941% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +14285% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Alys cplx sp/pn npgt w/prgrm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $101.60 | $101.60 – $121.92 |
| Hackensack University Medical Center | Hackensack | $108.10 | $67.24 – $113.50 |
| Ocean University Medical Center | Brick | $100.32 | $65.42 – $120.38 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $101.69 | $67.24 – $101.69 |
| Palisades Medical Center | North Bergen | $108.10 | $67.24 – $117.83 |
| Raritan Bay Medical Center | Perth Amboy | $101.69 | $67.24 – $364.02 |
| Riverview Medical Center | Red Bank | $101.60 | $65.42 – $121.92 |
| Southern Ocean Medical Center | Manahawkin | $100.32 | $65.42 – $120.38 |