Hlth bhv assmt/reassessment at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$102.38
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.
$232.00
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.
$38.51 with AETNA vs $232.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $38.51 | ↓ -62% |
| CLOVER | MEDICARE ADVANTAGE | $41.76 | ↓ -59% |
| HORIZON | BH | $48.88 | ↓ -52% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $53.59 | ↓ -48% |
| VACCN | ALL PRODUCTS | $102.38 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $102.38 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $102.38 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $102.38 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $102.38 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $107.50 | ↑ +5% |
| QUALCARE | PPO | $108.58 | ↑ +6% |
| QUALCARE | HMO | $108.58 | ↑ +6% |
| AETNA | MEDICARE ADVANTAGE | $111.60 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $122.86 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $136.65 | ↑ +33% |
| KARNA | MEDICARE ADVANTAGE | $143.37 | ↑ +40% |
| OXFORD | ALL PRODUCTS | $158.08 | ↑ +54% |
| HORIZON | MANAGED MEDICAID | $160.06 | ↑ +56% |
| HORIZON | WORKERS COMP | $167.64 | ↑ +64% |
| BEACON | ALL PRODUCTS | $174.00 | ↑ +70% |
| BERGEN RISK | ALL PRODUCTS | $174.00 | ↑ +70% |
| HORIZON | PIP | $176.78 | ↑ +73% |
| AETNA | ASA | $181.66 | ↑ +77% |
| HORIZON | OMNIA | $184.07 | ↑ +80% |
| CIGNA | BH | $185.60 | ↑ +81% |
| UNITED HEALTHCARE | HMO | $197.13 | ↑ +93% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $197.20 | ↑ +93% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $197.20 | ↑ +93% |
| AMERIHEALTH | LOCAL HMO | $202.68 | ↑ +98% |
| QUALCARE | WORKERS COMP | $204.16 | ↑ +99% |
| AETNA | HMO | $208.80 | ↑ +104% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $208.80 | ↑ +104% |
| AETNA | PPO | $208.80 | ↑ +104% |
| CIGNA | PPO | $221.86 | ↑ +117% |
| CIGNA | HMO | $221.86 | ↑ +117% |
| HORIZON | SHP | $225.20 | ↑ +120% |
| HORIZON | HMO | $226.39 | ↑ +121% |
| HORIZON | INDEMNITY | $228.87 | ↑ +124% |
| AMERIHEALTH | REGIONAL HMO | $229.54 | ↑ +124% |
| HORIZON | PPO | $232.00 | ↑ +127% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Hlth bhv assmt/reassessment at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $102.38 | $102.38 – $122.86 |
| Hackensack University Medical Center | Hackensack | $108.93 | $87.15 – $146.97 |
| Ocean University Medical Center | Brick | $101.09 | $92.50 – $143.37 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $102.47 | $48.88 – $146.97 |
| Palisades Medical Center | North Bergen | $108.93 | $105.59 – $146.97 |
| Raritan Bay Medical Center | Perth Amboy | $102.47 | $102.47 – $146.97 |
| Riverview Medical Center | Red Bank | $102.38 | $102.38 – $143.37 |
| Southern Ocean Medical Center | Manahawkin | $101.09 | $48.88 – $143.37 |