Group mnt 2 or more 30 mins at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$19.31
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.
$81.00
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.
$13.45 with AETNA vs $676.00 with UNITED HEALTHCARE — 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 | $13.45 | ↓ -30% |
| CLOVER | MEDICARE ADVANTAGE | $14.58 | ↓ -24% |
| OPTUM HEALTH | MANAGED MEDICAID | $15.45 | ↓ -20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $18.71 | ↓ -3% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $18.79 | ↓ -3% |
| AMERIGROUP | MANAGED MEDICAID | $19.31 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $19.31 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $19.31 | ↑ +0% |
| VACCN | ALL PRODUCTS | $19.31 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $19.31 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $20.28 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $21.05 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $23.17 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $26.81 | ↑ +39% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $47.71 | ↑ +147% |
| HORIZON | MANAGED MEDICAID | $55.88 | ↑ +189% |
| HORIZON | WORKERS COMP | $58.53 | ↑ +203% |
| BERGEN RISK | ALL PRODUCTS | $60.75 | ↑ +215% |
| BEACON | ALL PRODUCTS | $60.75 | ↑ +215% |
| HORIZON | PIP | $61.72 | ↑ +220% |
| QUALCARE | HMO | $62.94 | ↑ +226% |
| QUALCARE | PPO | $62.94 | ↑ +226% |
| AETNA | ASA | $63.42 | ↑ +228% |
| HORIZON | OMNIA | $64.27 | ↑ +233% |
| CIGNA | BH | $64.80 | ↑ +236% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $68.85 | ↑ +257% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $68.85 | ↑ +257% |
| QUALCARE | WORKERS COMP | $71.28 | ↑ +269% |
| AETNA | HMO | $72.90 | ↑ +278% |
| AETNA | PPO | $72.90 | ↑ +278% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $72.90 | ↑ +278% |
| CIGNA | PPO | $77.46 | ↑ +301% |
| CIGNA | HMO | $77.46 | ↑ +301% |
| HORIZON | SHP | $78.63 | ↑ +307% |
| HORIZON | HMO | $79.04 | ↑ +309% |
| HORIZON | INDEMNITY | $79.91 | ↑ +314% |
| HORIZON | PPO | $81.00 | ↑ +319% |
| OXFORD | ALL PRODUCTS | $327.00 | ↑ +1593% |
| AMERIHEALTH | LOCAL HMO | $443.00 | ↑ +2194% |
| AMERIHEALTH | REGIONAL HMO | $502.00 | ↑ +2500% |
| UNITED HEALTHCARE | HMO | $676.00 | ↑ +3401% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Group mnt 2 or more 30 mins at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $19.31 | $6.14 – $792.00 |
| Palisades Medical Center | North Bergen | $19.31 | $6.05 – $981.00 |
| Raritan Bay Medical Center | Perth Amboy | $19.31 | $7.68 – $308.00 |
| Riverview Medical Center | Red Bank | $19.31 | $19.31 – $465.00 |
| Southern Ocean Medical Center | Manahawkin | $19.31 | $19.31 – $465.00 |