Circum 28 days or older at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$2,267.41
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.
$5,234.00
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.
$407.54 with KARNA vs $12,082.00 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 | $407.54 | ↓ -82% |
| AETNA | MANAGED MEDICAID | $868.84 | ↓ -62% |
| CLOVER | MEDICARE ADVANTAGE | $942.12 | ↓ -58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,209.05 | ↓ -47% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $2,267.41 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,267.41 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,267.41 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,267.41 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,267.41 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,380.78 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,471.48 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,720.90 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $3,082.83 | ↑ +36% |
| CIGNA | HMO | $3,135.00 | ↑ +38% |
| CIGNA | PPO | $3,509.00 | ↑ +55% |
| OXFORD | ALL PRODUCTS | $3,566.45 | ↑ +57% |
| HORIZON | MANAGED MEDICAID | $3,610.94 | ↑ +59% |
| BERGEN RISK | ALL PRODUCTS | $3,925.50 | ↑ +73% |
| BEACON | ALL PRODUCTS | $3,925.50 | ↑ +73% |
| HORIZON | PIP | $3,988.31 | ↑ +76% |
| QUALCARE | HMO | $4,066.82 | ↑ +79% |
| QUALCARE | PPO | $4,066.82 | ↑ +79% |
| AETNA | ASA | $4,098.22 | ↑ +81% |
| CIGNA | BH | $4,187.20 | ↑ +85% |
| UNITED HEALTHCARE | HMO | $4,447.33 | ↑ +96% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,448.90 | ↑ +96% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,448.90 | ↑ +96% |
| AMERIHEALTH | LOCAL HMO | $4,572.42 | ↑ +102% |
| QUALCARE | WORKERS COMP | $4,605.92 | ↑ +103% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $4,710.60 | ↑ +108% |
| AETNA | PPO | $4,710.60 | ↑ +108% |
| AETNA | HMO | $4,710.60 | ↑ +108% |
| AMERIHEALTH | REGIONAL HMO | $5,178.52 | ↑ +128% |
| HORIZON | OMNIA | $9,533.00 | ↑ +320% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +348% |
| HORIZON | SHP | $10,970.00 | ↑ +384% |
| HORIZON | HMO | $11,776.00 | ↑ +419% |
| HORIZON | INDEMNITY | $11,886.00 | ↑ +424% |
| HORIZON | PPO | $12,082.00 | ↑ +433% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Circum 28 days or older at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $2,267.41 | $2,267.41 – $2,720.90 |
| Hackensack University Medical Center | Hackensack | $2,412.45 | $420.66 – $2,533.07 |
| Ocean University Medical Center | Brick | $2,238.78 | $407.54 – $2,686.53 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,269.38 | $194.00 – $2,269.38 |
| Palisades Medical Center | North Bergen | $2,412.45 | $191.09 – $2,629.57 |
| Raritan Bay Medical Center | Perth Amboy | $2,269.38 | $242.50 – $2,723.26 |
| Riverview Medical Center | Red Bank | $2,267.41 | $407.54 – $2,720.90 |
| Southern Ocean Medical Center | Manahawkin | $2,238.78 | $407.54 – $2,686.53 |