Eeg wo vid ea 12-26hr unmntr at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$587.30
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.
$4,180.00
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.
$555.59 with KARNA vs $4,180.00 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 | $555.59 | ↓ -5% |
| WELLCARE | MEDICARE ADVANTAGE | $587.30 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $587.30 | ↑ +0% |
| VACCN | ALL PRODUCTS | $587.30 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $587.30 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $587.30 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $616.66 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $640.16 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $693.88 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $704.76 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $752.40 | ↑ +28% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $965.58 | ↑ +64% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,462.02 | ↑ +319% |
| OXFORD | ALL PRODUCTS | $2,848.25 | ↑ +385% |
| HORIZON | MANAGED MEDICAID | $2,883.78 | ↑ +391% |
| HORIZON | WORKERS COMP | $3,020.47 | ↑ +414% |
| BERGEN RISK | ALL PRODUCTS | $3,135.00 | ↑ +434% |
| BEACON | ALL PRODUCTS | $3,135.00 | ↑ +434% |
| HORIZON | PIP | $3,185.16 | ↑ +442% |
| QUALCARE | PPO | $3,247.86 | ↑ +453% |
| QUALCARE | HMO | $3,247.86 | ↑ +453% |
| AETNA | ASA | $3,272.94 | ↑ +457% |
| HORIZON | OMNIA | $3,316.41 | ↑ +465% |
| CIGNA | BH | $3,344.00 | ↑ +469% |
| UNITED HEALTHCARE | HMO | $3,551.75 | ↑ +505% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,553.00 | ↑ +505% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,553.00 | ↑ +505% |
| AMERIHEALTH | LOCAL HMO | $3,651.65 | ↑ +522% |
| QUALCARE | WORKERS COMP | $3,678.40 | ↑ +526% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,762.00 | ↑ +541% |
| AETNA | HMO | $3,762.00 | ↑ +541% |
| AETNA | PPO | $3,762.00 | ↑ +541% |
| CIGNA | HMO | $3,997.33 | ↑ +581% |
| CIGNA | PPO | $3,997.33 | ↑ +581% |
| HORIZON | SHP | $4,057.53 | ↑ +591% |
| HORIZON | HMO | $4,078.84 | ↑ +595% |
| HORIZON | INDEMNITY | $4,123.57 | ↑ +602% |
| AMERIHEALTH | REGIONAL HMO | $4,135.69 | ↑ +604% |
| HORIZON | PPO | $4,180.00 | ↑ +612% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Eeg wo vid ea 12-26hr unmntr at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $587.30 | $587.30 – $704.76 |
| Hackensack University Medical Center | Hackensack | $624.87 | $499.89 – $4,782.00 |
| Ocean University Medical Center | Brick | $579.88 | $104.00 – $695.86 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $587.81 | $104.00 – $7,013.00 |
| Palisades Medical Center | North Bergen | $624.87 | $567.32 – $1,998.00 |
| Raritan Bay Medical Center | Perth Amboy | $587.81 | $567.32 – $705.37 |
| Riverview Medical Center | Red Bank | $587.30 | $555.59 – $704.76 |
| Southern Ocean Medical Center | Manahawkin | $579.88 | $555.59 – $695.86 |