Auditory function 60 min at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$173.18
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.
$752.00
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.
$124.83 with AETNA vs $752.00 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 | $124.83 | ↓ -28% |
| KARNA | MEDICARE ADVANTAGE | $129.10 | ↓ -25% |
| CLOVER | MEDICARE ADVANTAGE | $135.36 | ↓ -22% |
| VACCN | ALL PRODUCTS | $173.18 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $173.18 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $173.71 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $181.84 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $188.77 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $207.82 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $328.00 | ↑ +89% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $442.93 | ↑ +156% |
| AMERIHEALTH | LOCAL HMO | $443.00 | ↑ +156% |
| AMERIHEALTH | REGIONAL HMO | $502.00 | ↑ +190% |
| OXFORD | ALL PRODUCTS | $512.41 | ↑ +196% |
| HORIZON | MANAGED MEDICAID | $518.80 | ↑ +200% |
| HORIZON | WORKERS COMP | $543.40 | ↑ +214% |
| BEACON | ALL PRODUCTS | $564.00 | ↑ +226% |
| BERGEN RISK | ALL PRODUCTS | $564.00 | ↑ +226% |
| HORIZON | PIP | $573.02 | ↑ +231% |
| QUALCARE | HMO | $584.30 | ↑ +237% |
| QUALCARE | PPO | $584.30 | ↑ +237% |
| AETNA | ASA | $588.82 | ↑ +240% |
| HORIZON | OMNIA | $596.64 | ↑ +245% |
| CIGNA | BH | $601.60 | ↑ +247% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $639.20 | ↑ +269% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $639.20 | ↑ +269% |
| QUALCARE | WORKERS COMP | $661.76 | ↑ +282% |
| AETNA | HMO | $676.80 | ↑ +291% |
| AETNA | PPO | $676.80 | ↑ +291% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $676.80 | ↑ +291% |
| CIGNA | HMO | $719.14 | ↑ +315% |
| CIGNA | PPO | $719.14 | ↑ +315% |
| HORIZON | SHP | $729.97 | ↑ +322% |
| HORIZON | HMO | $733.80 | ↑ +324% |
| HORIZON | INDEMNITY | $741.85 | ↑ +328% |
| HORIZON | PPO | $752.00 | ↑ +334% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Auditory function 60 min at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $465.00 |
| Hackensack University Medical Center | Hackensack | $184.26 | $133.42 – $487.00 |
| Ocean University Medical Center | Brick | $170.99 | $116.00 – $499.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $173.33 | $116.00 – $627.00 |
| Palisades Medical Center | North Bergen | $184.26 | $133.42 – $994.00 |
| Raritan Bay Medical Center | Perth Amboy | $173.33 | $133.42 – $270.00 |
| Riverview Medical Center | Red Bank | $173.18 | $129.10 – $465.00 |
| Southern Ocean Medical Center | Manahawkin | $170.99 | $129.10 – $465.00 |