Electrophysiology evaluation at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$8,398.96
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.
$13,433.00
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.
$1,906.16 with KARNA vs $25,049.00 with QUALCARE — 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 | $1,906.16 | ↓ -77% |
| AETNA | MANAGED MEDICAID | $2,229.88 | ↓ -73% |
| CLOVER | MEDICARE ADVANTAGE | $2,417.94 | ↓ -71% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,103.02 | ↓ -63% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $7,912.04 | ↓ -6% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $8,398.96 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $8,398.96 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $8,398.96 | ↑ +0% |
| VACCN | ALL PRODUCTS | $8,398.96 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $8,398.96 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $8,818.91 | ↑ +5% |
| OXFORD | ALL PRODUCTS | $9,153.25 | ↑ +9% |
| AETNA | MEDICARE ADVANTAGE | $9,154.87 | ↑ +9% |
| HORIZON | MANAGED MEDICAID | $9,267.43 | ↑ +10% |
| HORIZON | WORKERS COMP | $9,706.69 | ↑ +16% |
| BERGEN RISK | ALL PRODUCTS | $10,074.75 | ↑ +20% |
| BEACON | ALL PRODUCTS | $10,074.75 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $10,078.76 | ↑ +20% |
| HORIZON | PIP | $10,235.95 | ↑ +22% |
| AETNA | ASA | $10,518.04 | ↑ +25% |
| HORIZON | OMNIA | $10,657.74 | ↑ +27% |
| CIGNA | BH | $10,746.40 | ↑ +28% |
| UNITED HEALTHCARE | HMO | $11,414.02 | ↑ +36% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $11,418.05 | ↑ +36% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $11,418.05 | ↑ +36% |
| AMERIHEALTH | LOCAL HMO | $11,735.07 | ↑ +40% |
| AETNA | PPO | $12,089.70 | ↑ +44% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $12,089.70 | ↑ +44% |
| AETNA | HMO | $12,089.70 | ↑ +44% |
| QUALCARE | WORKERS COMP | $12,197.16 | ↑ +45% |
| CIGNA | PPO | $12,845.98 | ↑ +53% |
| CIGNA | HMO | $12,845.98 | ↑ +53% |
| HORIZON | SHP | $13,039.41 | ↑ +55% |
| HORIZON | HMO | $13,107.92 | ↑ +56% |
| HORIZON | INDEMNITY | $13,251.65 | ↑ +58% |
| AMERIHEALTH | REGIONAL HMO | $13,290.61 | ↑ +58% |
| HORIZON | PPO | $13,433.00 | ↑ +60% |
| QUALCARE | PPO | $25,049.00 | ↑ +198% |
| QUALCARE | HMO | $25,049.00 | ↑ +198% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Electrophysiology evaluation at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $8,398.96 | $8,398.96 – $10,078.76 |
| Hackensack University Medical Center | Hackensack | $8,936.20 | $1,946.40 – $9,383.01 |
| Ocean University Medical Center | Brick | $8,292.88 | $104.00 – $9,951.46 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $8,406.25 | $104.00 – $8,406.25 |
| Palisades Medical Center | North Bergen | $8,936.20 | $58.00 – $9,740.46 |
| Raritan Bay Medical Center | Perth Amboy | $8,406.25 | $1,023.10 – $10,087.50 |
| Riverview Medical Center | Red Bank | $8,398.96 | $1,906.16 – $10,078.76 |
| Southern Ocean Medical Center | Manahawkin | $8,292.88 | $1,906.16 – $9,951.46 |