Capsulotomy; interphalangeal joint, each joint (separate proc) at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$1,771.43
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.
$3,607.00
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.
$525.78 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 | $525.78 | ↓ -70% |
| AETNA | MANAGED MEDICAID | $598.76 | ↓ -66% |
| CLOVER | MEDICARE ADVANTAGE | $649.26 | ↓ -63% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $833.22 | ↓ -53% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -33% |
| VACCN | ALL PRODUCTS | $1,771.43 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $1,771.43 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,771.43 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,771.43 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,771.43 | ↑ +0% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,860.00 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,930.86 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,125.72 | ↑ +20% |
| BEACON | ALL PRODUCTS | $2,705.25 | ↑ +53% |
| BERGEN RISK | ALL PRODUCTS | $2,705.25 | ↑ +53% |
| HORIZON | PIP | $2,748.53 | ↑ +55% |
| QUALCARE | PPO | $2,802.64 | ↑ +58% |
| AETNA | ASA | $2,824.28 | ↑ +59% |
| HORIZON | OMNIA | $2,861.79 | ↑ +62% |
| CIGNA | BH | $2,885.60 | ↑ +63% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,065.95 | ↑ +73% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,065.95 | ↑ +73% |
| AMERIHEALTH | LOCAL HMO | $3,151.08 | ↑ +78% |
| QUALCARE | WORKERS COMP | $3,174.16 | ↑ +79% |
| CIGNA | PPO | $3,242.33 | ↑ +83% |
| CIGNA | HMO | $3,242.33 | ↑ +83% |
| HORIZON | SHP | $3,501.31 | ↑ +98% |
| HORIZON | HMO | $3,519.71 | ↑ +99% |
| HORIZON | INDEMNITY | $3,558.31 | ↑ +101% |
| AMERIHEALTH | REGIONAL HMO | $3,568.77 | ↑ +101% |
| HORIZON | PPO | $3,607.00 | ↑ +104% |
| QUALCARE | HMO | $6,256.00 | ↑ +253% |
| OXFORD | ALL PRODUCTS | $8,522.00 | ↑ +381% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +474% |
| AETNA | HMO | $10,202.00 | ↑ +476% |
| AETNA | PPO | $10,202.00 | ↑ +476% |
| UNITED HEALTHCARE | HMO | $10,276.00 | ↑ +480% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +725% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Capsulotomy; interphalangeal joint, each joint (separate proc) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,771.43 | $1,771.43 – $2,125.72 |
| Hackensack University Medical Center | Hackensack | $1,884.74 | $544.92 – $1,978.98 |
| Ocean University Medical Center | Brick | $1,749.06 | $525.78 – $2,098.87 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,772.97 | $95.70 – $1,772.97 |
| Palisades Medical Center | North Bergen | $1,884.74 | $544.92 – $2,054.37 |
| Raritan Bay Medical Center | Perth Amboy | $1,772.97 | $544.92 – $2,127.56 |
| Riverview Medical Center | Red Bank | $1,771.43 | $525.78 – $2,125.72 |
| Southern Ocean Medical Center | Manahawkin | $1,749.06 | $525.78 – $2,098.87 |