Devel tst phys/qhp 1st hr at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$173.18
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.
$615.00
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.
$70.61 with HORIZON vs $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 |
|---|---|---|---|
| HORIZON | BH | $70.61 | ↓ -59% |
| AETNA | MANAGED MEDICAID | $102.09 | ↓ -41% |
| CLOVER | MEDICARE ADVANTAGE | $110.70 | ↓ -36% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $142.07 | ↓ -18% |
| VACCN | ALL PRODUCTS | $173.18 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $173.18 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $181.84 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $188.77 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $202.80 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $207.82 | ↑ +20% |
| QUALCARE | HMO | $287.82 | ↑ +66% |
| QUALCARE | PPO | $287.82 | ↑ +66% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $362.24 | ↑ +109% |
| HORIZON | MANAGED MEDICAID | $424.29 | ↑ +145% |
| OXFORD | ALL PRODUCTS | $426.00 | ↑ +146% |
| HORIZON | WORKERS COMP | $444.40 | ↑ +157% |
| BEACON | ALL PRODUCTS | $461.25 | ↑ +166% |
| BERGEN RISK | ALL PRODUCTS | $461.25 | ↑ +166% |
| HORIZON | PIP | $468.63 | ↑ +171% |
| AETNA | ASA | $481.55 | ↑ +178% |
| HORIZON | OMNIA | $487.94 | ↑ +182% |
| CIGNA | BH | $492.00 | ↑ +184% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $522.75 | ↑ +202% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $522.75 | ↑ +202% |
| AMERIHEALTH | LOCAL HMO | $537.26 | ↑ +210% |
| QUALCARE | WORKERS COMP | $541.20 | ↑ +213% |
| UNITED HEALTHCARE | HMO | $549.00 | ↑ +217% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $553.50 | ↑ +220% |
| AETNA | HMO | $553.50 | ↑ +220% |
| AETNA | PPO | $553.50 | ↑ +220% |
| CIGNA | PPO | $588.12 | ↑ +240% |
| CIGNA | HMO | $588.12 | ↑ +240% |
| HORIZON | SHP | $596.98 | ↑ +245% |
| HORIZON | HMO | $600.12 | ↑ +247% |
| HORIZON | INDEMNITY | $606.70 | ↑ +250% |
| AMERIHEALTH | REGIONAL HMO | $608.48 | ↑ +251% |
| HORIZON | PPO | $615.00 | ↑ +255% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Devel tst phys/qhp 1st hr at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $393.00 |
| Hackensack University Medical Center | Hackensack | $184.26 | $147.41 – $1,673.00 |
| Ocean University Medical Center | Brick | $170.99 | $154.00 – $393.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $173.33 | $70.61 – $759.00 |
| Palisades Medical Center | North Bergen | $184.26 | $146.61 – $1,353.00 |
| Raritan Bay Medical Center | Perth Amboy | $173.33 | $173.33 – $389.00 |
| Riverview Medical Center | Red Bank | $173.18 | $173.18 – $399.00 |
| Southern Ocean Medical Center | Manahawkin | $170.99 | $70.61 – $396.00 |