Complex repair trunk 2.6-7.5cm 13101 at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$677.54
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.
$2,200.00
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.
$365.20 with AETNA 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $365.20 | ↓ -46% |
| CLOVER | MEDICARE ADVANTAGE | $396.00 | ↓ -42% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $508.20 | ↓ -25% |
| KARNA | MEDICARE ADVANTAGE | $509.45 | ↓ -25% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $677.54 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $677.54 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $677.54 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $677.54 | ↑ +0% |
| VACCN | ALL PRODUCTS | $677.54 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $711.42 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $738.52 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $813.05 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +75% |
| HORIZON | MANAGED MEDICAID | $1,482.00 | ↑ +119% |
| BEACON | ALL PRODUCTS | $1,650.00 | ↑ +144% |
| BERGEN RISK | ALL PRODUCTS | $1,650.00 | ↑ +144% |
| HORIZON | PIP | $1,676.40 | ↑ +147% |
| QUALCARE | PPO | $1,709.40 | ↑ +152% |
| AETNA | ASA | $1,722.60 | ↑ +154% |
| HORIZON | OMNIA | $1,745.48 | ↑ +158% |
| CIGNA | BH | $1,760.00 | ↑ +160% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,870.00 | ↑ +176% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,870.00 | ↑ +176% |
| AMERIHEALTH | LOCAL HMO | $1,921.92 | ↑ +184% |
| QUALCARE | WORKERS COMP | $1,936.00 | ↑ +186% |
| HORIZON | SHP | $2,135.54 | ↑ +215% |
| HORIZON | HMO | $2,146.76 | ↑ +217% |
| HORIZON | INDEMNITY | $2,170.30 | ↑ +220% |
| AMERIHEALTH | REGIONAL HMO | $2,176.68 | ↑ +221% |
| HORIZON | PPO | $2,200.00 | ↑ +225% |
| OXFORD | ALL PRODUCTS | $2,805.00 | ↑ +314% |
| UNITED HEALTHCARE | HMO | $3,315.00 | ↑ +389% |
| CIGNA | HMO | $3,586.00 | ↑ +429% |
| CIGNA | PPO | $4,013.00 | ↑ +492% |
| QUALCARE | HMO | $6,256.00 | ↑ +823% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +1400% |
| AETNA | PPO | $10,202.00 | ↑ +1406% |
| AETNA | HMO | $10,202.00 | ↑ +1406% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +2057% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Complex repair trunk 2.6-7.5cm 13101 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $677.54 | $677.54 – $813.05 |
| Hackensack University Medical Center | Hackensack | $720.88 | $528.05 – $756.93 |
| Ocean University Medical Center | Brick | $668.98 | $509.45 – $802.78 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $678.13 | $273.72 – $678.13 |
| Palisades Medical Center | North Bergen | $720.88 | $528.05 – $785.76 |
| Raritan Bay Medical Center | Perth Amboy | $678.13 | $528.05 – $813.76 |
| Riverview Medical Center | Red Bank | $677.54 | $509.45 – $813.05 |
| Southern Ocean Medical Center | Manahawkin | $668.98 | $509.45 – $802.78 |