Bld exchange truj oth thn nb at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$483.90
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.
$1,335.00
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.
$221.61 with AETNA vs $1,335.00 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 | $221.61 | ↓ -54% |
| CLOVER | MEDICARE ADVANTAGE | $240.30 | ↓ -50% |
| KARNA | MEDICARE ADVANTAGE | $251.72 | ↓ -48% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $308.39 | ↓ -36% |
| OXFORD | ALL PRODUCTS | $380.00 | ↓ -21% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $483.90 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $483.90 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $483.90 | ↑ +0% |
| VACCN | ALL PRODUCTS | $483.90 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $483.90 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $508.09 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $527.45 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $580.68 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $786.32 | ↑ +62% |
| HORIZON | MANAGED MEDICAID | $921.02 | ↑ +90% |
| HORIZON | WORKERS COMP | $964.67 | ↑ +99% |
| BEACON | ALL PRODUCTS | $1,001.25 | ↑ +107% |
| BERGEN RISK | ALL PRODUCTS | $1,001.25 | ↑ +107% |
| HORIZON | PIP | $1,017.27 | ↑ +110% |
| QUALCARE | PPO | $1,037.30 | ↑ +114% |
| QUALCARE | HMO | $1,037.30 | ↑ +114% |
| AETNA | ASA | $1,045.31 | ↑ +116% |
| HORIZON | OMNIA | $1,059.19 | ↑ +119% |
| CIGNA | BH | $1,068.00 | ↑ +121% |
| UNITED HEALTHCARE | HMO | $1,134.35 | ↑ +134% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,134.75 | ↑ +135% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,134.75 | ↑ +135% |
| AMERIHEALTH | LOCAL HMO | $1,166.26 | ↑ +141% |
| QUALCARE | WORKERS COMP | $1,174.80 | ↑ +143% |
| AETNA | PPO | $1,201.50 | ↑ +148% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,201.50 | ↑ +148% |
| AETNA | HMO | $1,201.50 | ↑ +148% |
| CIGNA | HMO | $1,276.66 | ↑ +164% |
| CIGNA | PPO | $1,276.66 | ↑ +164% |
| HORIZON | SHP | $1,295.88 | ↑ +168% |
| HORIZON | HMO | $1,302.69 | ↑ +169% |
| HORIZON | INDEMNITY | $1,316.98 | ↑ +172% |
| AMERIHEALTH | REGIONAL HMO | $1,320.85 | ↑ +173% |
| HORIZON | PPO | $1,335.00 | ↑ +176% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Bld exchange truj oth thn nb at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $483.90 | $357.00 – $580.68 |
| Hackensack University Medical Center | Hackensack | $514.85 | $256.61 – $540.59 |
| Ocean University Medical Center | Brick | $477.79 | $108.38 – $477.79 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $484.32 | $108.38 – $484.32 |
| Palisades Medical Center | North Bergen | $514.85 | $206.64 – $907.00 |
| Raritan Bay Medical Center | Perth Amboy | $484.32 | $256.61 – $581.18 |
| Riverview Medical Center | Red Bank | $483.90 | $251.72 – $580.68 |
| Southern Ocean Medical Center | Manahawkin | $477.79 | $251.72 – $573.34 |