Hla i & ii type verify lr at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$404.52
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.
$397.00
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.
$65.90 with AETNA vs $1,853.65 with CIGNA — 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 | $65.90 | ↓ -84% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $92.10 | ↓ -77% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $233.83 | ↓ -42% |
| HORIZON | WORKERS COMP | $286.87 | ↓ -29% |
| BEACON | ALL PRODUCTS | $297.75 | ↓ -26% |
| BERGEN RISK | ALL PRODUCTS | $297.75 | ↓ -26% |
| HORIZON | PIP | $302.51 | ↓ -25% |
| QUALCARE | HMO | $308.47 | ↓ -24% |
| QUALCARE | PPO | $308.47 | ↓ -24% |
| AETNA | ASA | $310.85 | ↓ -23% |
| HORIZON | OMNIA | $314.98 | ↓ -22% |
| CIGNA | BH | $317.60 | ↓ -21% |
| OPTUM HEALTH | MANAGED MEDICAID | $323.62 | ↓ -20% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $337.45 | ↓ -17% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $337.45 | ↓ -17% |
| AMERIHEALTH | LOCAL HMO | $346.82 | ↓ -14% |
| QUALCARE | WORKERS COMP | $349.36 | ↓ -14% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $357.30 | ↓ -12% |
| AETNA | HMO | $357.30 | ↓ -12% |
| AETNA | PPO | $357.30 | ↓ -12% |
| HORIZON | SHP | $385.37 | ↓ -5% |
| HORIZON | HMO | $387.39 | ↓ -4% |
| HORIZON | INDEMNITY | $391.64 | ↓ -3% |
| AMERIHEALTH | REGIONAL HMO | $392.79 | ↓ -3% |
| HORIZON | PPO | $397.00 | ↓ -2% |
| WELLCARE | MEDICARE ADVANTAGE | $404.52 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $404.52 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $404.52 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $404.52 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $404.52 | ↑ +0% |
| VACCN | ALL PRODUCTS | $404.52 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $404.52 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $424.75 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $440.93 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $485.42 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $526.89 | ↑ +30% |
| UNITED HEALTHCARE | HMO | $904.10 | ↑ +123% |
| OXFORD | ALL PRODUCTS | $904.10 | ↑ +123% |
| CIGNA | PPO | $1,853.65 | ↑ +358% |
| CIGNA | HMO | $1,853.65 | ↑ +358% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Hla i & ii type verify lr at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $404.52 | $404.52 – $1,853.65 |
| Hackensack University Medical Center | Hackensack | $404.52 | $196.75 – $1,816.49 |
| Ocean University Medical Center | Brick | $404.52 | $355.98 – $1,853.65 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $404.52 | $355.98 – $1,903.77 |
| Palisades Medical Center | North Bergen | $404.52 | $217.04 – $1,853.65 |
| Raritan Bay Medical Center | Perth Amboy | $404.52 | $404.52 – $1,853.65 |
| Riverview Medical Center | Red Bank | $404.52 | $404.52 – $1,853.65 |
| Southern Ocean Medical Center | Manahawkin | $404.52 | $404.52 – $1,853.65 |