Application clubfoot cast at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$174.65
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.
$367.00
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.
$0.01 with CIGNA 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 |
|---|---|---|---|
| CIGNA | HMO | $0.01 | ↓ -100% |
| CIGNA | PPO | $0.01 | ↓ -100% |
| AETNA | MANAGED MEDICAID | $60.92 | ↓ -65% |
| CLOVER | MEDICARE ADVANTAGE | $66.06 | ↓ -62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $84.78 | ↓ -51% |
| WELLCARE | MANAGED MEDICAID | $174.65 | ↑ +0% |
| VACCN | ALL PRODUCTS | $174.65 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $174.65 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $174.65 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $174.65 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $183.38 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $190.37 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $209.58 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $231.21 | ↑ +32% |
| BEACON | ALL PRODUCTS | $275.25 | ↑ +58% |
| BERGEN RISK | ALL PRODUCTS | $275.25 | ↑ +58% |
| HORIZON | PIP | $279.65 | ↑ +60% |
| QUALCARE | PPO | $285.16 | ↑ +63% |
| AETNA | ASA | $287.36 | ↑ +65% |
| HORIZON | OMNIA | $291.18 | ↑ +67% |
| CIGNA | BH | $293.60 | ↑ +68% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $311.95 | ↑ +79% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $311.95 | ↑ +79% |
| AMERIHEALTH | LOCAL HMO | $320.61 | ↑ +84% |
| QUALCARE | WORKERS COMP | $322.96 | ↑ +85% |
| HORIZON | SHP | $356.25 | ↑ +104% |
| HORIZON | HMO | $358.12 | ↑ +105% |
| HORIZON | INDEMNITY | $362.05 | ↑ +107% |
| AMERIHEALTH | REGIONAL HMO | $363.11 | ↑ +108% |
| HORIZON | PPO | $367.00 | ↑ +110% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +581% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↑ +946% |
| OXFORD | ALL PRODUCTS | $2,805.00 | ↑ +1506% |
| UNITED HEALTHCARE | HMO | $3,315.00 | ↑ +1798% |
| QUALCARE | HMO | $6,256.00 | ↑ +3482% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +5719% |
| AETNA | PPO | $10,202.00 | ↑ +5741% |
| AETNA | HMO | $10,202.00 | ↑ +5741% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +8268% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Application clubfoot cast at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $174.65 | $174.65 – $209.58 |
| Hackensack University Medical Center | Hackensack | $185.82 | $148.66 – $238.12 |
| Ocean University Medical Center | Brick | $172.45 | $157.79 – $231.21 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $174.80 | $157.79 – $238.12 |
| Palisades Medical Center | North Bergen | $185.82 | $185.82 – $238.12 |
| Raritan Bay Medical Center | Perth Amboy | $174.80 | $174.80 – $238.12 |
| Riverview Medical Center | Red Bank | $174.65 | $174.65 – $231.21 |
| Southern Ocean Medical Center | Manahawkin | $172.45 | $172.45 – $231.21 |