Hlth bhv ivntj grp 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.
$169.00
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.
$4.90 with HORIZON vs $169.00 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 | $4.90 | ↓ -85% |
| KARNA | MEDICARE ADVANTAGE | $15.31 | ↓ -54% |
| AETNA | MANAGED MEDICAID | $28.05 | ↓ -15% |
| CLOVER | MEDICARE ADVANTAGE | $30.42 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $32.97 | ↑ +0% |
| VACCN | ALL PRODUCTS | $32.97 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $32.97 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $32.97 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $32.97 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $34.62 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $35.94 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $39.04 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $39.57 | ↑ +20% |
| QUALCARE | HMO | $79.09 | ↑ +140% |
| QUALCARE | PPO | $79.09 | ↑ +140% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $99.54 | ↑ +202% |
| OXFORD | ALL PRODUCTS | $115.16 | ↑ +249% |
| HORIZON | MANAGED MEDICAID | $116.59 | ↑ +254% |
| HORIZON | WORKERS COMP | $122.12 | ↑ +270% |
| BERGEN RISK | ALL PRODUCTS | $126.75 | ↑ +284% |
| BEACON | ALL PRODUCTS | $126.75 | ↑ +284% |
| HORIZON | PIP | $128.78 | ↑ +291% |
| AETNA | ASA | $132.33 | ↑ +301% |
| HORIZON | OMNIA | $134.08 | ↑ +307% |
| CIGNA | BH | $135.20 | ↑ +310% |
| UNITED HEALTHCARE | HMO | $143.60 | ↑ +336% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $143.65 | ↑ +336% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $143.65 | ↑ +336% |
| AMERIHEALTH | LOCAL HMO | $147.64 | ↑ +348% |
| QUALCARE | WORKERS COMP | $148.72 | ↑ +351% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $152.10 | ↑ +361% |
| AETNA | HMO | $152.10 | ↑ +361% |
| AETNA | PPO | $152.10 | ↑ +361% |
| CIGNA | PPO | $161.61 | ↑ +390% |
| CIGNA | HMO | $161.61 | ↑ +390% |
| HORIZON | SHP | $164.05 | ↑ +398% |
| HORIZON | HMO | $164.91 | ↑ +400% |
| HORIZON | INDEMNITY | $166.72 | ↑ +406% |
| AMERIHEALTH | REGIONAL HMO | $167.21 | ↑ +407% |
| HORIZON | PPO | $169.00 | ↑ +413% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Hlth bhv ivntj grp 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 | $15.71 – $365.00 |
| Ocean University Medical Center | Brick | $32.56 | $15.31 – $39.07 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $33.00 | $4.90 – $33.00 |
| Palisades Medical Center | North Bergen | $35.08 | $10.68 – $38.24 |
| Raritan Bay Medical Center | Perth Amboy | $33.00 | $13.55 – $39.60 |
| Riverview Medical Center | Red Bank | $32.97 | $15.31 – $39.57 |
| Southern Ocean Medical Center | Manahawkin | $32.56 | $4.90 – $39.07 |