Cystic fibrosis cftr at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$499.00
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.
$3,724.00
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.
$372.40 with HORIZON vs $3,724.00 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $372.40 | ↓ -25% |
| OPTUM HEALTH | MANAGED MEDICAID | $399.20 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $499.00 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $499.00 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $499.00 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $499.00 | ↑ +0% |
| VACCN | ALL PRODUCTS | $499.00 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $499.00 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $499.00 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $523.95 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $543.91 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $598.80 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $618.18 | ↑ +24% |
| KARNA | MEDICARE ADVANTAGE | $649.95 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $783.93 | ↑ +57% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $863.97 | ↑ +73% |
| OXFORD | ALL PRODUCTS | $2,104.06 | ↑ +322% |
| UNITED HEALTHCARE | HMO | $2,104.06 | ↑ +322% |
| QUALCARE | HMO | $2,163.64 | ↑ +334% |
| CIGNA | PPO | $2,286.59 | ↑ +358% |
| CIGNA | HMO | $2,286.59 | ↑ +358% |
| AETNA | PPO | $2,606.80 | ↑ +422% |
| AETNA | HMO | $2,606.80 | ↑ +422% |
| HORIZON | WORKERS COMP | $2,690.96 | ↑ +439% |
| BERGEN RISK | ALL PRODUCTS | $2,793.00 | ↑ +460% |
| BEACON | ALL PRODUCTS | $2,793.00 | ↑ +460% |
| HORIZON | PIP | $2,837.69 | ↑ +469% |
| QUALCARE | PPO | $2,893.55 | ↑ +480% |
| AETNA | ASA | $2,915.89 | ↑ +484% |
| HORIZON | OMNIA | $2,954.62 | ↑ +492% |
| CIGNA | BH | $2,979.20 | ↑ +497% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,979.20 | ↑ +497% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,165.40 | ↑ +534% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,165.40 | ↑ +534% |
| AMERIHEALTH | LOCAL HMO | $3,253.29 | ↑ +552% |
| QUALCARE | WORKERS COMP | $3,277.12 | ↑ +557% |
| HORIZON | SHP | $3,614.89 | ↑ +624% |
| HORIZON | HMO | $3,633.88 | ↑ +628% |
| HORIZON | INDEMNITY | $3,673.73 | ↑ +636% |
| AMERIHEALTH | REGIONAL HMO | $3,684.53 | ↑ +638% |
| HORIZON | PPO | $3,724.00 | ↑ +646% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Cystic fibrosis cftr at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $499.00 | $499.00 – $2,286.59 |
| Hackensack University Medical Center | Hackensack | $499.00 | $399.20 – $2,240.75 |
| Ocean University Medical Center | Brick | $499.00 | $439.12 – $2,286.59 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $499.00 | $439.12 – $2,348.41 |
| Palisades Medical Center | North Bergen | $499.00 | $499.00 – $2,286.59 |
| Raritan Bay Medical Center | Perth Amboy | $499.00 | $499.00 – $2,286.59 |
| Riverview Medical Center | Red Bank | $499.00 | $499.00 – $2,286.59 |
| Southern Ocean Medical Center | Manahawkin | $499.00 | $499.00 – $2,286.59 |