Benign lesion paring 4+ at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$219.93
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.
$578.00
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% |
| KARNA | MEDICARE ADVANTAGE | $57.82 | ↓ -74% |
| AETNA | MANAGED MEDICAID | $95.95 | ↓ -56% |
| CLOVER | MEDICARE ADVANTAGE | $104.04 | ↓ -53% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $133.52 | ↓ -39% |
| WELLCARE | MEDICARE ADVANTAGE | $219.93 | ↑ +0% |
| VACCN | ALL PRODUCTS | $219.93 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $219.93 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $219.93 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $219.93 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $230.93 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $239.73 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $263.92 | ↑ +20% |
| BEACON | ALL PRODUCTS | $433.50 | ↑ +97% |
| BERGEN RISK | ALL PRODUCTS | $433.50 | ↑ +97% |
| HORIZON | PIP | $440.44 | ↑ +100% |
| QUALCARE | PPO | $449.11 | ↑ +104% |
| AETNA | ASA | $452.57 | ↑ +106% |
| HORIZON | OMNIA | $458.59 | ↑ +109% |
| CIGNA | BH | $462.40 | ↑ +110% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $491.30 | ↑ +123% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $491.30 | ↑ +123% |
| AMERIHEALTH | LOCAL HMO | $504.94 | ↑ +130% |
| QUALCARE | WORKERS COMP | $508.64 | ↑ +131% |
| HORIZON | SHP | $561.06 | ↑ +155% |
| HORIZON | HMO | $564.01 | ↑ +156% |
| HORIZON | INDEMNITY | $570.20 | ↑ +159% |
| AMERIHEALTH | REGIONAL HMO | $571.87 | ↑ +160% |
| HORIZON | PPO | $578.00 | ↑ +163% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +441% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↑ +731% |
| OXFORD | ALL PRODUCTS | $2,805.00 | ↑ +1175% |
| UNITED HEALTHCARE | HMO | $3,315.00 | ↑ +1407% |
| QUALCARE | HMO | $6,256.00 | ↑ +2745% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +4521% |
| AETNA | PPO | $10,202.00 | ↑ +4539% |
| AETNA | HMO | $10,202.00 | ↑ +4539% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +6545% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Benign lesion paring 4+ at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $219.93 | $219.93 – $263.92 |
| Hackensack University Medical Center | Hackensack | $234.00 | $59.26 – $245.70 |
| Ocean University Medical Center | Brick | $217.16 | $57.82 – $260.59 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $220.12 | $59.26 – $220.12 |
| Palisades Medical Center | North Bergen | $234.00 | $59.26 – $255.06 |
| Raritan Bay Medical Center | Perth Amboy | $220.12 | $59.26 – $264.15 |
| Riverview Medical Center | Red Bank | $219.93 | $57.82 – $263.92 |
| Southern Ocean Medical Center | Manahawkin | $217.16 | $57.82 – $260.59 |