Ghs ot dds rom at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$10.05
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.
$25.00
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.
$4.15 with AETNA vs $561.00 with OXFORD — 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 | $4.15 | ↓ -59% |
| CLOVER | MEDICARE ADVANTAGE | $4.50 | ↓ -55% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $5.78 | ↓ -42% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5.80 | ↓ -42% |
| OPTUM HEALTH | MANAGED MEDICAID | $8.04 | ↓ -20% |
| VACCN | ALL PRODUCTS | $10.05 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $10.05 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $10.05 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $10.55 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $10.95 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $12.06 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $12.64 | ↑ +26% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $14.73 | ↑ +47% |
| HORIZON | WORKERS COMP | $18.07 | ↑ +80% |
| HORIZON | PIP | $19.05 | ↑ +90% |
| QUALCARE | PPO | $19.43 | ↑ +93% |
| AETNA | ASA | $19.58 | ↑ +95% |
| HORIZON | OMNIA | $19.84 | ↑ +97% |
| CIGNA | BH | $20.00 | ↑ +99% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $21.25 | ↑ +111% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $21.25 | ↑ +111% |
| AMERIHEALTH | LOCAL HMO | $21.84 | ↑ +117% |
| AETNA | PPO | $22.50 | ↑ +124% |
| AETNA | HMO | $22.50 | ↑ +124% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $22.50 | ↑ +124% |
| QUALCARE | WORKERS COMP | $22.70 | ↑ +126% |
| CIGNA | HMO | $23.91 | ↑ +138% |
| CIGNA | PPO | $23.91 | ↑ +138% |
| HORIZON | SHP | $24.27 | ↑ +141% |
| HORIZON | HMO | $24.40 | ↑ +143% |
| HORIZON | INDEMNITY | $24.66 | ↑ +145% |
| AMERIHEALTH | REGIONAL HMO | $24.74 | ↑ +146% |
| HORIZON | PPO | $25.00 | ↑ +149% |
| HORIZON | MANAGED MEDICAID | $60.00 | ↑ +497% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +2129% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +2129% |
| BEACON | ALL PRODUCTS | $262.00 | ↑ +2507% |
| BERGEN RISK | ALL PRODUCTS | $291.00 | ↑ +2796% |
| QUALCARE | HMO | $306.00 | ↑ +2945% |
| UNITED HEALTHCARE | HMO | $367.00 | ↑ +3552% |
| OXFORD | ALL PRODUCTS | $561.00 | ↑ +5482% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ghs ot dds rom at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $10.05 | $10.05 – $447.00 |
| Hackensack University Medical Center | Hackensack | $10.05 | $8.04 – $406.00 |
| Ocean University Medical Center | Brick | $10.05 | $10.05 – $525.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $10.05 | $10.05 – $525.00 |
| Palisades Medical Center | North Bergen | $10.05 | $10.05 – $558.00 |
| Raritan Bay Medical Center | Perth Amboy | $10.05 | $10.05 – $471.00 |
| Riverview Medical Center | Red Bank | $10.05 | $10.05 – $464.00 |
| Southern Ocean Medical Center | Manahawkin | $10.05 | $10.05 – $563.00 |