Exc mal+marg tal 3.1-4 cm 11604 at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$778.78
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.
$3,080.00
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.
$438.78 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 | $438.78 | ↓ -44% |
| AETNA | MANAGED MEDICAID | $511.28 | ↓ -34% |
| CLOVER | MEDICARE ADVANTAGE | $554.40 | ↓ -29% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $711.48 | ↓ -9% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $778.78 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $778.78 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $778.78 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $778.78 | ↑ +0% |
| VACCN | ALL PRODUCTS | $778.78 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $817.71 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $848.87 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $934.53 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +53% |
| HORIZON | MANAGED MEDICAID | $1,293.00 | ↑ +66% |
| BEACON | ALL PRODUCTS | $2,310.00 | ↑ +197% |
| BERGEN RISK | ALL PRODUCTS | $2,310.00 | ↑ +197% |
| HORIZON | PIP | $2,346.96 | ↑ +201% |
| QUALCARE | PPO | $2,393.16 | ↑ +207% |
| AETNA | ASA | $2,411.64 | ↑ +210% |
| HORIZON | OMNIA | $2,443.67 | ↑ +214% |
| CIGNA | BH | $2,464.00 | ↑ +216% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,618.00 | ↑ +236% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,618.00 | ↑ +236% |
| AMERIHEALTH | LOCAL HMO | $2,690.69 | ↑ +246% |
| QUALCARE | WORKERS COMP | $2,710.40 | ↑ +248% |
| HORIZON | SHP | $2,989.76 | ↑ +284% |
| HORIZON | HMO | $3,005.46 | ↑ +286% |
| HORIZON | INDEMNITY | $3,038.42 | ↑ +290% |
| AMERIHEALTH | REGIONAL HMO | $3,047.35 | ↑ +291% |
| HORIZON | PPO | $3,080.00 | ↑ +295% |
| CIGNA | HMO | $3,135.00 | ↑ +303% |
| CIGNA | PPO | $3,509.00 | ↑ +351% |
| OXFORD | ALL PRODUCTS | $4,165.00 | ↑ +435% |
| UNITED HEALTHCARE | HMO | $4,973.00 | ↑ +539% |
| QUALCARE | HMO | $6,256.00 | ↑ +703% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +1205% |
| AETNA | PPO | $10,202.00 | ↑ +1210% |
| AETNA | HMO | $10,202.00 | ↑ +1210% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +1777% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Exc mal+marg tal 3.1-4 cm 11604 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $778.78 | $778.78 – $934.53 |
| Hackensack University Medical Center | Hackensack | $828.59 | $454.02 – $870.02 |
| Ocean University Medical Center | Brick | $768.94 | $438.78 – $922.73 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $779.45 | $352.78 – $779.45 |
| Palisades Medical Center | North Bergen | $828.59 | $454.02 – $903.16 |
| Raritan Bay Medical Center | Perth Amboy | $779.45 | $454.02 – $935.34 |
| Riverview Medical Center | Red Bank | $778.78 | $438.78 – $934.53 |
| Southern Ocean Medical Center | Manahawkin | $768.94 | $438.78 – $922.73 |