Clean out mastoid cavity at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$563.67
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.
$3,190.00
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.
$288.77 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 | $288.77 | ↓ -49% |
| AETNA | MANAGED MEDICAID | $529.54 | ↓ -6% |
| WELLCARE | MANAGED MEDICAID | $563.67 | ↑ +0% |
| VACCN | ALL PRODUCTS | $563.67 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $563.67 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $563.67 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $563.67 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $574.20 | ↑ +2% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $591.85 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $614.40 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $676.40 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $736.89 | ↑ +31% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +111% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↑ +224% |
| BEACON | ALL PRODUCTS | $2,392.50 | ↑ +324% |
| BERGEN RISK | ALL PRODUCTS | $2,392.50 | ↑ +324% |
| HORIZON | PIP | $2,430.78 | ↑ +331% |
| QUALCARE | PPO | $2,478.63 | ↑ +340% |
| AETNA | ASA | $2,497.77 | ↑ +343% |
| HORIZON | OMNIA | $2,530.95 | ↑ +349% |
| CIGNA | BH | $2,552.00 | ↑ +353% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,711.50 | ↑ +381% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,711.50 | ↑ +381% |
| AMERIHEALTH | LOCAL HMO | $2,786.78 | ↑ +394% |
| OXFORD | ALL PRODUCTS | $2,805.00 | ↑ +398% |
| QUALCARE | WORKERS COMP | $2,807.20 | ↑ +398% |
| CIGNA | PPO | $2,867.49 | ↑ +409% |
| CIGNA | HMO | $2,867.49 | ↑ +409% |
| HORIZON | SHP | $3,096.53 | ↑ +449% |
| HORIZON | HMO | $3,112.80 | ↑ +452% |
| HORIZON | INDEMNITY | $3,146.94 | ↑ +458% |
| AMERIHEALTH | REGIONAL HMO | $3,156.19 | ↑ +460% |
| HORIZON | PPO | $3,190.00 | ↑ +466% |
| UNITED HEALTHCARE | HMO | $3,315.00 | ↑ +488% |
| QUALCARE | HMO | $6,256.00 | ↑ +1010% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +1703% |
| AETNA | PPO | $10,202.00 | ↑ +1710% |
| AETNA | HMO | $10,202.00 | ↑ +1710% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +2493% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Clean out mastoid cavity at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $563.67 | $563.67 – $676.40 |
| Hackensack University Medical Center | Hackensack | $599.72 | $300.88 – $636.27 |
| Ocean University Medical Center | Brick | $556.55 | $288.77 – $667.86 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $564.16 | $70.00 – $564.16 |
| Palisades Medical Center | North Bergen | $599.72 | $300.88 – $653.70 |
| Raritan Bay Medical Center | Perth Amboy | $564.16 | $300.88 – $676.99 |
| Riverview Medical Center | Red Bank | $563.67 | $288.77 – $676.40 |
| Southern Ocean Medical Center | Manahawkin | $556.55 | $288.77 – $667.86 |