Exc mal+marg tal 1.1-2 cm 11602 at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$442.22
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.
$2,200.00
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.
$334.50 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $334.50 | ↓ -24% |
| AETNA | MANAGED MEDICAID | $365.20 | ↓ -17% |
| CLOVER | MEDICARE ADVANTAGE | $396.00 | ↓ -10% |
| VACCN | ALL PRODUCTS | $442.22 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $442.22 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $442.22 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $442.22 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $442.22 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $464.33 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $482.02 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $508.20 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $530.67 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +169% |
| BEACON | ALL PRODUCTS | $1,650.00 | ↑ +273% |
| BERGEN RISK | ALL PRODUCTS | $1,650.00 | ↑ +273% |
| HORIZON | PIP | $1,676.40 | ↑ +279% |
| QUALCARE | PPO | $1,709.40 | ↑ +287% |
| AETNA | ASA | $1,722.60 | ↑ +290% |
| HORIZON | OMNIA | $1,745.48 | ↑ +295% |
| CIGNA | BH | $1,760.00 | ↑ +298% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↑ +313% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,870.00 | ↑ +323% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,870.00 | ↑ +323% |
| AMERIHEALTH | LOCAL HMO | $1,921.92 | ↑ +335% |
| QUALCARE | WORKERS COMP | $1,936.00 | ↑ +338% |
| HORIZON | SHP | $2,135.54 | ↑ +383% |
| HORIZON | HMO | $2,146.76 | ↑ +385% |
| HORIZON | INDEMNITY | $2,170.30 | ↑ +391% |
| AMERIHEALTH | REGIONAL HMO | $2,176.68 | ↑ +392% |
| HORIZON | PPO | $2,200.00 | ↑ +397% |
| CIGNA | HMO | $2,247.00 | ↑ +408% |
| CIGNA | PPO | $2,518.00 | ↑ +469% |
| OXFORD | ALL PRODUCTS | $2,805.00 | ↑ +534% |
| UNITED HEALTHCARE | HMO | $3,315.00 | ↑ +650% |
| QUALCARE | HMO | $6,256.00 | ↑ +1315% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +2198% |
| AETNA | PPO | $10,202.00 | ↑ +2207% |
| AETNA | HMO | $10,202.00 | ↑ +2207% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +3205% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Exc mal+marg tal 1.1-2 cm 11602 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $442.22 | $442.22 – $530.67 |
| Hackensack University Medical Center | Hackensack | $470.51 | $346.95 – $494.04 |
| Ocean University Medical Center | Brick | $436.64 | $334.50 – $523.97 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $442.61 | $280.88 – $442.61 |
| Palisades Medical Center | North Bergen | $470.51 | $346.95 – $512.86 |
| Raritan Bay Medical Center | Perth Amboy | $442.61 | $346.95 – $531.13 |
| Riverview Medical Center | Red Bank | $442.22 | $334.50 – $530.67 |
| Southern Ocean Medical Center | Manahawkin | $436.64 | $334.50 – $523.97 |