Av fusion direct any site at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$3,483.84
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.
?
What you pay up front if you don't use insurance.
$13,750.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,189.00 with UNITED HEALTHCARE vs $14,615.00 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -66% |
| KARNA | MEDICARE ADVANTAGE | $1,326.73 | ↓ -62% |
| HORIZON | MANAGED MEDICAID | $1,482.00 | ↓ -57% |
| AETNA | MANAGED MEDICAID | $2,282.50 | ↓ -34% |
| CLOVER | MEDICARE ADVANTAGE | $2,475.00 | ↓ -29% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,176.25 | ↓ -9% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,483.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,483.84 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| CIGNA | HMO | $3,586.00 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,658.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,797.39 | ↑ +9% |
| CIGNA | PPO | $4,013.00 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $4,180.61 | ↑ +20% |
| QUALCARE | HMO | $6,256.00 | ↑ +80% |
| HORIZON | OMNIA | $10,075.00 | ↑ +189% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +192% |
| AETNA | HMO | $10,202.00 | ↑ +193% |
| AETNA | PPO | $10,202.00 | ↑ +193% |
| QUALCARE | PPO | $10,231.00 | ↑ +194% |
| BEACON | ALL PRODUCTS | $10,312.50 | ↑ +196% |
| BERGEN RISK | ALL PRODUCTS | $10,312.50 | ↑ +196% |
| HORIZON | PIP | $10,477.50 | ↑ +201% |
| AETNA | ASA | $10,766.25 | ↑ +209% |
| QUALCARE | WORKERS COMP | $10,822.00 | ↑ +211% |
| CIGNA | BH | $11,000.00 | ↑ +216% |
| HORIZON | SHP | $11,486.00 | ↑ +230% |
| OXFORD | ALL PRODUCTS | $11,680.00 | ↑ +235% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $11,687.50 | ↑ +235% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $11,687.50 | ↑ +235% |
| AMERIHEALTH | LOCAL HMO | $12,012.00 | ↑ +245% |
| HORIZON | HMO | $12,442.00 | ↑ +257% |
| HORIZON | INDEMNITY | $12,559.00 | ↑ +260% |
| HORIZON | PPO | $12,766.00 | ↑ +266% |
| AMERIHEALTH | REGIONAL HMO | $13,604.25 | ↑ +290% |
| UNITED HEALTHCARE | HMO | $14,121.00 | ↑ +305% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +320% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Av fusion direct any site at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,483.84 | $3,483.84 – $4,180.61 |
| Hackensack University Medical Center | Hackensack | $3,706.68 | $1,356.03 – $3,892.02 |
| Ocean University Medical Center | Brick | $3,439.84 | $1,326.73 – $4,127.81 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,486.86 | $506.00 – $3,486.86 |
| Palisades Medical Center | North Bergen | $3,706.68 | $1,356.03 – $4,040.29 |
| Raritan Bay Medical Center | Perth Amboy | $3,486.86 | $1,356.03 – $4,184.24 |
| Riverview Medical Center | Red Bank | $3,483.84 | $1,326.73 – $4,180.61 |
| Southern Ocean Medical Center | Manahawkin | $3,439.84 | $1,326.73 – $4,127.81 |