Gamunex-c/gammaked at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$48.03
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.
$131.87
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.
$23.74 with CLOVER vs $131.87 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $23.74 | ↓ -51% |
| AMERIHEALTH | LOCAL HMO | $38.36 | ↓ -20% |
| HORIZON | MANAGED MEDICAID | $40.83 | ↓ -15% |
| AMERIHEALTH | REGIONAL HMO | $41.96 | ↓ -13% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $48.03 | ↑ +0% |
| VACCN | ALL PRODUCTS | $48.03 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $48.03 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $50.43 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $52.35 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $57.64 | ↑ +20% |
| WELLCARE | MEDICARE ADVANTAGE | $59.34 | ↑ +24% |
| WELLCARE | MANAGED MEDICAID | $59.34 | ↑ +24% |
| AETNA | MANAGED MEDICAID | $64.62 | ↑ +35% |
| KARNA | MEDICARE ADVANTAGE | $64.85 | ↑ +35% |
| CIGNA | PPO | $65.28 | ↑ +36% |
| CIGNA | HMO | $65.28 | ↑ +36% |
| AMERIGROUP | MANAGED MEDICAID | $65.94 | ↑ +37% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $65.94 | ↑ +37% |
| QUALCARE | WORKERS COMP | $67.91 | ↑ +41% |
| QUALCARE | PPO | $67.91 | ↑ +41% |
| OXFORD | ALL PRODUCTS | $74.51 | ↑ +55% |
| UNITED HEALTHCARE | HMO | $74.51 | ↑ +55% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $77.67 | ↑ +62% |
| BERGEN RISK | ALL PRODUCTS | $79.12 | ↑ +65% |
| BEACON | ALL PRODUCTS | $79.12 | ↑ +65% |
| AETNA | HMO | $79.91 | ↑ +66% |
| AETNA | PPO | $79.91 | ↑ +66% |
| HORIZON | WORKERS COMP | $95.29 | ↑ +98% |
| HORIZON | PIP | $100.48 | ↑ +109% |
| AETNA | ASA | $103.25 | ↑ +115% |
| HORIZON | OMNIA | $104.63 | ↑ +118% |
| CIGNA | BH | $105.50 | ↑ +120% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $112.09 | ↑ +133% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $112.09 | ↑ +133% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $118.68 | ↑ +147% |
| HORIZON | SHP | $128.01 | ↑ +167% |
| HORIZON | HMO | $128.68 | ↑ +168% |
| HORIZON | INDEMNITY | $130.09 | ↑ +171% |
| HORIZON | PPO | $131.87 | ↑ +175% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| QUALCARE | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Gamunex-c/gammaked at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $48.03 | $40.83 – $99.88 |
| Palisades Medical Center | North Bergen | $48.81 | $40.83 – $99.88 |
| Raritan Bay Medical Center | Perth Amboy | $48.03 | $40.83 – $99.88 |
| Riverview Medical Center | Red Bank | $48.03 | $40.83 – $99.88 |
| Southern Ocean Medical Center | Manahawkin | $48.03 | $40.83 – $99.88 |