Bundle his recording at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$8,398.96
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.
$9,655.00
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.
$722.56 with KARNA vs $29,244.00 with OXFORD — 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 | $722.56 | ↓ -91% |
| AETNA | MANAGED MEDICAID | $1,602.73 | ↓ -81% |
| CLOVER | MEDICARE ADVANTAGE | $1,737.90 | ↓ -79% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,230.31 | ↓ -73% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $5,686.80 | ↓ -32% |
| HORIZON | MANAGED MEDICAID | $6,660.98 | ↓ -21% |
| HORIZON | WORKERS COMP | $6,976.70 | ↓ -17% |
| BERGEN RISK | ALL PRODUCTS | $7,241.25 | ↓ -14% |
| BEACON | ALL PRODUCTS | $7,241.25 | ↓ -14% |
| HORIZON | PIP | $7,357.11 | ↓ -12% |
| QUALCARE | PPO | $7,501.94 | ↓ -11% |
| QUALCARE | HMO | $7,501.94 | ↓ -11% |
| AETNA | ASA | $7,559.87 | ↓ -10% |
| HORIZON | OMNIA | $7,660.28 | ↓ -9% |
| CIGNA | BH | $7,724.00 | ↓ -8% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $8,206.75 | ↓ -2% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $8,206.75 | ↓ -2% |
| WELLCARE | MEDICARE ADVANTAGE | $8,398.96 | ↑ +0% |
| VACCN | ALL PRODUCTS | $8,398.96 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $8,398.96 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $8,398.96 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $8,398.96 | ↑ +0% |
| AMERIHEALTH | LOCAL HMO | $8,434.61 | ↑ +0% |
| QUALCARE | WORKERS COMP | $8,496.40 | ↑ +1% |
| AETNA | PPO | $8,689.50 | ↑ +3% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $8,689.50 | ↑ +3% |
| AETNA | HMO | $8,689.50 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $8,818.91 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $9,154.87 | ↑ +9% |
| CIGNA | HMO | $9,233.08 | ↑ +10% |
| CIGNA | PPO | $9,233.08 | ↑ +10% |
| HORIZON | SHP | $9,372.11 | ↑ +12% |
| HORIZON | HMO | $9,421.35 | ↑ +12% |
| HORIZON | INDEMNITY | $9,524.66 | ↑ +13% |
| AMERIHEALTH | REGIONAL HMO | $9,552.66 | ↑ +14% |
| HORIZON | PPO | $9,655.00 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $10,078.76 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $28,862.00 | ↑ +244% |
| OXFORD | ALL PRODUCTS | $29,244.00 | ↑ +248% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Bundle his recording at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $8,398.96 | $8,398.96 – $10,078.76 |
| Hackensack University Medical Center | Hackensack | $8,936.20 | $737.82 – $9,383.01 |
| Ocean University Medical Center | Brick | $8,292.88 | $104.00 – $9,951.46 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $8,406.25 | $104.00 – $8,406.25 |
| Palisades Medical Center | North Bergen | $8,936.20 | $218.89 – $9,740.46 |
| Raritan Bay Medical Center | Perth Amboy | $8,406.25 | $277.78 – $10,087.50 |
| Riverview Medical Center | Red Bank | $8,398.96 | $722.56 – $10,078.76 |
| Southern Ocean Medical Center | Manahawkin | $8,292.88 | $722.56 – $9,951.46 |