Incise inner ear at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$1,639.57
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.
$4,840.00
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.
$256.79 with KARNA vs $14,615.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $256.79 | ↓ -84% |
| AETNA | MANAGED MEDICAID | $803.44 | ↓ -51% |
| CLOVER | MEDICARE ADVANTAGE | $871.20 | ↓ -47% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,118.04 | ↓ -32% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -27% |
| WELLCARE | MANAGED MEDICAID | $1,639.57 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,639.57 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,639.57 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,639.57 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $1,639.57 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,721.55 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,787.13 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,967.48 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $2,084.00 | ↑ +27% |
| BEACON | ALL PRODUCTS | $3,630.00 | ↑ +121% |
| BERGEN RISK | ALL PRODUCTS | $3,630.00 | ↑ +121% |
| HORIZON | PIP | $3,688.08 | ↑ +125% |
| QUALCARE | PPO | $3,760.68 | ↑ +129% |
| AETNA | ASA | $3,789.72 | ↑ +131% |
| HORIZON | OMNIA | $3,840.06 | ↑ +134% |
| CIGNA | BH | $3,872.00 | ↑ +136% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,114.00 | ↑ +151% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,114.00 | ↑ +151% |
| AMERIHEALTH | LOCAL HMO | $4,228.22 | ↑ +158% |
| QUALCARE | WORKERS COMP | $4,259.20 | ↑ +160% |
| HORIZON | SHP | $4,698.19 | ↑ +187% |
| HORIZON | HMO | $4,722.87 | ↑ +188% |
| HORIZON | INDEMNITY | $4,774.66 | ↑ +191% |
| AMERIHEALTH | REGIONAL HMO | $4,788.70 | ↑ +192% |
| HORIZON | PPO | $4,840.00 | ↑ +195% |
| CIGNA | HMO | $5,025.00 | ↑ +206% |
| CIGNA | PPO | $5,631.00 | ↑ +243% |
| QUALCARE | HMO | $6,256.00 | ↑ +282% |
| OXFORD | ALL PRODUCTS | $6,345.00 | ↑ +287% |
| UNITED HEALTHCARE | HMO | $7,625.00 | ↑ +365% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +520% |
| AETNA | PPO | $10,202.00 | ↑ +522% |
| AETNA | HMO | $10,202.00 | ↑ +522% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +791% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Incise inner ear at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,639.57 | $1,639.57 – $1,967.48 |
| Hackensack University Medical Center | Hackensack | $1,744.44 | $264.83 – $1,831.67 |
| Ocean University Medical Center | Brick | $1,618.86 | $256.79 – $1,942.63 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,640.99 | $264.83 – $1,640.99 |
| Palisades Medical Center | North Bergen | $1,744.44 | $264.83 – $1,901.44 |
| Raritan Bay Medical Center | Perth Amboy | $1,640.99 | $264.83 – $1,969.19 |
| Riverview Medical Center | Red Bank | $1,639.57 | $256.79 – $1,967.48 |
| Southern Ocean Medical Center | Manahawkin | $1,618.86 | $256.79 – $1,942.63 |