Discography cerv/thor spine at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$2,161.44
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.
$5,057.00
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.
$152.62 with AETNA vs $5,057.00 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 | HMO | $152.62 | ↓ -93% |
| AETNA | PPO | $152.62 | ↓ -93% |
| KARNA | MEDICARE ADVANTAGE | $241.33 | ↓ -89% |
| CIGNA | PPO | $249.25 | ↓ -88% |
| CIGNA | HMO | $249.25 | ↓ -88% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $627.11 | ↓ -71% |
| AETNA | MANAGED MEDICAID | $839.46 | ↓ -61% |
| CLOVER | MEDICARE ADVANTAGE | $910.26 | ↓ -58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,168.17 | ↓ -46% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,161.44 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,161.44 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,161.44 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $2,161.44 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,161.44 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,269.52 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,355.97 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,593.73 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $2,857.21 | ↑ +32% |
| UNITED HEALTHCARE | HMO | $2,857.21 | ↑ +32% |
| QUALCARE | HMO | $2,938.12 | ↑ +36% |
| HORIZON | WORKERS COMP | $3,654.19 | ↑ +69% |
| BERGEN RISK | ALL PRODUCTS | $3,792.75 | ↑ +75% |
| BEACON | ALL PRODUCTS | $3,792.75 | ↑ +75% |
| HORIZON | PIP | $3,853.43 | ↑ +78% |
| QUALCARE | PPO | $3,929.29 | ↑ +82% |
| AETNA | ASA | $3,959.63 | ↑ +83% |
| HORIZON | OMNIA | $4,012.22 | ↑ +86% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $4,045.60 | ↑ +87% |
| CIGNA | BH | $4,045.60 | ↑ +87% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,298.45 | ↑ +99% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,298.45 | ↑ +99% |
| AMERIHEALTH | LOCAL HMO | $4,417.80 | ↑ +104% |
| QUALCARE | WORKERS COMP | $4,450.16 | ↑ +106% |
| HORIZON | SHP | $4,908.83 | ↑ +127% |
| HORIZON | HMO | $4,934.62 | ↑ +128% |
| HORIZON | INDEMNITY | $4,988.73 | ↑ +131% |
| AMERIHEALTH | REGIONAL HMO | $5,003.40 | ↑ +131% |
| HORIZON | PPO | $5,057.00 | ↑ +134% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Discography cerv/thor spine at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $2,161.44 | $146.56 – $4,750.01 |
| Hackensack University Medical Center | Hackensack | $2,299.70 | $74.34 – $5,425.45 |
| Ocean University Medical Center | Brick | $2,134.14 | $146.56 – $2,134.14 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,163.32 | $252.83 – $5,030.71 |
| Palisades Medical Center | North Bergen | $2,299.70 | $82.00 – $4,750.01 |
| Raritan Bay Medical Center | Perth Amboy | $2,163.32 | $112.50 – $4,750.01 |
| Riverview Medical Center | Red Bank | $2,161.44 | $70.00 – $4,750.01 |
| Southern Ocean Medical Center | Manahawkin | $2,134.14 | $162.60 – $2,240.85 |