Cdna analysis for variants at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$185.20
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.
$2,750.00
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.
$40.70 with HORIZON vs $848.65 with CIGNA — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $40.70 | ↓ -78% |
| AETNA | MANAGED MEDICAID | $67.56 | ↓ -64% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $94.42 | ↓ -49% |
| OPTUM HEALTH | MANAGED MEDICAID | $148.16 | ↓ -20% |
| VACCN | ALL PRODUCTS | $185.20 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $185.20 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $185.20 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $185.20 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $185.20 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $185.20 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $185.20 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $194.46 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $201.87 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $222.24 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $229.96 | ↑ +24% |
| OXFORD | ALL PRODUCTS | $229.96 | ↑ +24% |
| QUALCARE | HMO | $236.47 | ↑ +28% |
| KARNA | MEDICARE ADVANTAGE | $241.22 | ↑ +30% |
| AETNA | PPO | $284.90 | ↑ +54% |
| AETNA | HMO | $284.90 | ↑ +54% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $290.95 | ↑ +57% |
| HORIZON | WORKERS COMP | $294.10 | ↑ +59% |
| BERGEN RISK | ALL PRODUCTS | $305.25 | ↑ +65% |
| BEACON | ALL PRODUCTS | $305.25 | ↑ +65% |
| HORIZON | PIP | $310.13 | ↑ +67% |
| QUALCARE | PPO | $316.24 | ↑ +71% |
| AETNA | ASA | $318.68 | ↑ +72% |
| HORIZON | OMNIA | $322.91 | ↑ +74% |
| CIGNA | BH | $325.60 | ↑ +76% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $325.60 | ↑ +76% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $345.95 | ↑ +87% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $345.95 | ↑ +87% |
| AMERIHEALTH | LOCAL HMO | $355.56 | ↑ +92% |
| QUALCARE | WORKERS COMP | $358.16 | ↑ +93% |
| HORIZON | SHP | $395.07 | ↑ +113% |
| HORIZON | HMO | $397.15 | ↑ +114% |
| HORIZON | INDEMNITY | $401.51 | ↑ +117% |
| AMERIHEALTH | REGIONAL HMO | $402.69 | ↑ +117% |
| HORIZON | PPO | $407.00 | ↑ +120% |
| CIGNA | PPO | $848.65 | ↑ +358% |
| CIGNA | HMO | $848.65 | ↑ +358% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Cdna analysis for variants at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $185.20 | $185.20 – $848.65 |
| Hackensack University Medical Center | Hackensack | $185.20 | $148.16 – $831.64 |
| Ocean University Medical Center | Brick | $185.20 | $162.98 – $848.65 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $185.20 | $162.98 – $871.60 |
| Palisades Medical Center | North Bergen | $185.20 | $185.20 – $848.65 |
| Raritan Bay Medical Center | Perth Amboy | $185.20 | $185.20 – $848.65 |
| Riverview Medical Center | Red Bank | $185.20 | $185.20 – $848.65 |
| Southern Ocean Medical Center | Manahawkin | $185.20 | $185.20 – $848.65 |