Hlth bhv ivntj fam 1st 30 at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$32.97
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.
$279.00
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.
$30.73 with HORIZON vs $279.00 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 |
|---|---|---|---|
| HORIZON | BH | $30.73 | ↓ -7% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $32.97 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $32.97 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $32.97 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $32.97 | ↑ +0% |
| VACCN | ALL PRODUCTS | $32.97 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $34.62 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $35.94 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $39.57 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $46.31 | ↑ +40% |
| CLOVER | MEDICARE ADVANTAGE | $50.22 | ↑ +52% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $64.45 | ↑ +95% |
| KARNA | MEDICARE ADVANTAGE | $101.20 | ↑ +207% |
| QUALCARE | HMO | $130.57 | ↑ +296% |
| QUALCARE | PPO | $130.57 | ↑ +296% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $164.33 | ↑ +398% |
| OXFORD | ALL PRODUCTS | $190.11 | ↑ +477% |
| HORIZON | MANAGED MEDICAID | $192.48 | ↑ +484% |
| HORIZON | WORKERS COMP | $201.61 | ↑ +511% |
| BERGEN RISK | ALL PRODUCTS | $209.25 | ↑ +535% |
| BEACON | ALL PRODUCTS | $209.25 | ↑ +535% |
| HORIZON | PIP | $212.60 | ↑ +545% |
| AETNA | ASA | $218.46 | ↑ +563% |
| HORIZON | OMNIA | $221.36 | ↑ +571% |
| CIGNA | BH | $223.20 | ↑ +577% |
| UNITED HEALTHCARE | HMO | $237.07 | ↑ +619% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $237.15 | ↑ +619% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $237.15 | ↑ +619% |
| AMERIHEALTH | LOCAL HMO | $243.73 | ↑ +639% |
| QUALCARE | WORKERS COMP | $245.52 | ↑ +645% |
| AETNA | HMO | $251.10 | ↑ +662% |
| AETNA | PPO | $251.10 | ↑ +662% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $251.10 | ↑ +662% |
| CIGNA | PPO | $266.81 | ↑ +709% |
| CIGNA | HMO | $266.81 | ↑ +709% |
| HORIZON | SHP | $270.83 | ↑ +721% |
| HORIZON | HMO | $272.25 | ↑ +726% |
| HORIZON | INDEMNITY | $275.23 | ↑ +735% |
| AMERIHEALTH | REGIONAL HMO | $276.04 | ↑ +737% |
| HORIZON | PPO | $279.00 | ↑ +746% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Hlth bhv ivntj fam 1st 30 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $32.97 | $32.97 – $39.57 |
| Hackensack University Medical Center | Hackensack | $35.08 | $28.07 – $103.65 |
| Ocean University Medical Center | Brick | $32.56 | $29.79 – $101.20 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $33.00 | $29.79 – $103.65 |
| Palisades Medical Center | North Bergen | $35.08 | $35.08 – $103.65 |
| Raritan Bay Medical Center | Perth Amboy | $33.00 | $33.00 – $103.65 |
| Riverview Medical Center | Red Bank | $32.97 | $32.97 – $101.20 |
| Southern Ocean Medical Center | Manahawkin | $32.56 | $30.73 – $101.20 |