Chmotx admn plrl cav thrcnts at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$367.13
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.
$1,098.00
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.
$182.27 with AETNA vs $1,702.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $182.27 | ↓ -50% |
| CLOVER | MEDICARE ADVANTAGE | $197.64 | ↓ -46% |
| KARNA | MEDICARE ADVANTAGE | $222.62 | ↓ -39% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $253.64 | ↓ -31% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $367.13 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $367.13 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $367.13 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $367.13 | ↑ +0% |
| VACCN | ALL PRODUCTS | $367.13 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $385.49 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $400.18 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $440.56 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $646.72 | ↑ +76% |
| HORIZON | MANAGED MEDICAID | $757.51 | ↑ +106% |
| HORIZON | WORKERS COMP | $793.41 | ↑ +116% |
| BERGEN RISK | ALL PRODUCTS | $823.50 | ↑ +124% |
| BEACON | ALL PRODUCTS | $823.50 | ↑ +124% |
| HORIZON | PIP | $836.68 | ↑ +128% |
| QUALCARE | HMO | $853.15 | ↑ +132% |
| QUALCARE | PPO | $853.15 | ↑ +132% |
| AETNA | ASA | $859.73 | ↑ +134% |
| HORIZON | OMNIA | $871.15 | ↑ +137% |
| CIGNA | BH | $878.40 | ↑ +139% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $878.40 | ↑ +139% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $933.30 | ↑ +154% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $933.30 | ↑ +154% |
| AMERIHEALTH | LOCAL HMO | $959.21 | ↑ +161% |
| QUALCARE | WORKERS COMP | $966.24 | ↑ +163% |
| AETNA | HMO | $982.60 | ↑ +168% |
| AETNA | PPO | $982.60 | ↑ +168% |
| HORIZON | SHP | $1,065.83 | ↑ +190% |
| HORIZON | HMO | $1,071.43 | ↑ +192% |
| HORIZON | INDEMNITY | $1,083.18 | ↑ +195% |
| AMERIHEALTH | REGIONAL HMO | $1,086.36 | ↑ +196% |
| HORIZON | PPO | $1,098.00 | ↑ +199% |
| OXFORD | ALL PRODUCTS | $1,102.00 | ↑ +200% |
| UNITED HEALTHCARE | HMO | $1,139.00 | ↑ +210% |
| CIGNA | HMO | $1,576.00 | ↑ +329% |
| CIGNA | PPO | $1,702.00 | ↑ +364% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Chmotx admn plrl cav thrcnts at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $367.13 | $367.13 – $1,576.00 |
| Hackensack University Medical Center | Hackensack | $390.62 | $230.76 – $6,608.00 |
| Ocean University Medical Center | Brick | $362.50 | $222.62 – $1,577.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $367.45 | $230.76 – $1,966.00 |
| Palisades Medical Center | North Bergen | $390.62 | $230.76 – $1,550.00 |
| Raritan Bay Medical Center | Perth Amboy | $367.45 | $230.76 – $1,498.00 |
| Riverview Medical Center | Red Bank | $367.13 | $222.62 – $1,527.00 |
| Southern Ocean Medical Center | Manahawkin | $362.50 | $222.62 – $1,552.00 |