Biopsy knee joint lining at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$3,591.33
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.
$6,424.00
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.
$903.48 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 | $903.48 | ↓ -75% |
| AETNA | MANAGED MEDICAID | $1,066.38 | ↓ -70% |
| CLOVER | MEDICARE ADVANTAGE | $1,156.32 | ↓ -68% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -67% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,483.94 | ↓ -59% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↓ -49% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $3,591.33 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,591.33 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,591.33 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,591.33 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,591.33 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,770.90 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,914.55 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4,309.59 | ↑ +20% |
| CIGNA | HMO | $4,412.00 | ↑ +23% |
| BEACON | ALL PRODUCTS | $4,818.00 | ↑ +34% |
| BERGEN RISK | ALL PRODUCTS | $4,818.00 | ↑ +34% |
| HORIZON | PIP | $4,895.09 | ↑ +36% |
| CIGNA | PPO | $4,944.00 | ↑ +38% |
| QUALCARE | PPO | $4,991.45 | ↑ +39% |
| AETNA | ASA | $5,029.99 | ↑ +40% |
| HORIZON | OMNIA | $5,096.80 | ↑ +42% |
| CIGNA | BH | $5,139.20 | ↑ +43% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,460.40 | ↑ +52% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $5,460.40 | ↑ +52% |
| AMERIHEALTH | LOCAL HMO | $5,612.01 | ↑ +56% |
| QUALCARE | WORKERS COMP | $5,653.12 | ↑ +57% |
| HORIZON | SHP | $6,235.78 | ↑ +74% |
| QUALCARE | HMO | $6,256.00 | ↑ +74% |
| HORIZON | HMO | $6,268.54 | ↑ +75% |
| HORIZON | INDEMNITY | $6,337.28 | ↑ +76% |
| AMERIHEALTH | REGIONAL HMO | $6,355.91 | ↑ +77% |
| HORIZON | PPO | $6,424.00 | ↑ +79% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +183% |
| AETNA | PPO | $10,202.00 | ↑ +184% |
| AETNA | HMO | $10,202.00 | ↑ +184% |
| OXFORD | ALL PRODUCTS | $11,680.00 | ↑ +225% |
| UNITED HEALTHCARE | HMO | $14,121.00 | ↑ +293% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +307% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy knee joint lining at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,591.33 | $3,591.33 – $4,309.59 |
| Hackensack University Medical Center | Hackensack | $3,821.05 | $937.20 – $4,012.10 |
| Ocean University Medical Center | Brick | $3,545.97 | $903.48 – $4,255.16 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,594.44 | $570.00 – $3,594.44 |
| Palisades Medical Center | North Bergen | $3,821.05 | $937.20 – $4,164.94 |
| Raritan Bay Medical Center | Perth Amboy | $3,594.44 | $937.20 – $4,313.33 |
| Riverview Medical Center | Red Bank | $3,591.33 | $903.48 – $4,309.59 |
| Southern Ocean Medical Center | Manahawkin | $3,545.97 | $903.48 – $4,255.16 |