Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$2,024.70
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.
$4,989.00
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.
$828.17 with AETNA vs $14,615.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $828.17 | ↓ -59% |
| CLOVER | MEDICARE ADVANTAGE | $898.02 | ↓ -56% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,152.46 | ↓ -43% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -41% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↓ -10% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $2,024.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,024.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,024.70 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,024.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,024.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,125.94 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,206.92 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,429.64 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $3,336.42 | ↑ +65% |
| BEACON | ALL PRODUCTS | $3,741.75 | ↑ +85% |
| BERGEN RISK | ALL PRODUCTS | $3,741.75 | ↑ +85% |
| HORIZON | PIP | $3,801.62 | ↑ +88% |
| QUALCARE | PPO | $3,876.45 | ↑ +91% |
| AETNA | ASA | $3,906.39 | ↑ +93% |
| HORIZON | OMNIA | $3,958.27 | ↑ +95% |
| CIGNA | BH | $3,991.20 | ↑ +97% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,240.65 | ↑ +109% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,240.65 | ↑ +109% |
| AMERIHEALTH | LOCAL HMO | $4,358.39 | ↑ +115% |
| QUALCARE | WORKERS COMP | $4,390.32 | ↑ +117% |
| CIGNA | HMO | $4,412.00 | ↑ +118% |
| HORIZON | SHP | $4,842.82 | ↑ +139% |
| HORIZON | HMO | $4,868.27 | ↑ +140% |
| HORIZON | INDEMNITY | $4,921.65 | ↑ +143% |
| AMERIHEALTH | REGIONAL HMO | $4,936.12 | ↑ +144% |
| CIGNA | PPO | $4,944.00 | ↑ +144% |
| HORIZON | PPO | $4,989.00 | ↑ +146% |
| QUALCARE | HMO | $6,256.00 | ↑ +209% |
| OXFORD | ALL PRODUCTS | $8,522.00 | ↑ +321% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +402% |
| AETNA | PPO | $10,202.00 | ↑ +404% |
| AETNA | HMO | $10,202.00 | ↑ +404% |
| UNITED HEALTHCARE | HMO | $10,276.00 | ↑ +408% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +622% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $2,024.70 | $2,024.70 – $2,429.64 |
| Hackensack University Medical Center | Hackensack | $2,154.21 | $1,723.37 – $3,441.70 |
| Ocean University Medical Center | Brick | $1,999.13 | $1,829.23 – $3,336.42 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,026.46 | $1,290.18 – $3,441.70 |
| Palisades Medical Center | North Bergen | $2,154.21 | $2,154.21 – $3,441.70 |
| Raritan Bay Medical Center | Perth Amboy | $2,026.46 | $2,026.46 – $3,441.70 |
| Riverview Medical Center | Red Bank | $2,024.70 | $2,024.70 – $3,336.42 |
| Southern Ocean Medical Center | Manahawkin | $1,999.13 | $1,999.13 – $3,336.42 |