Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$985.43
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.
$3,566.00
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.
$215.99 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 | $215.99 | ↓ -78% |
| AETNA | MANAGED MEDICAID | $591.96 | ↓ -40% |
| CLOVER | MEDICARE ADVANTAGE | $641.88 | ↓ -35% |
| AETNA | MEDICARE ADVANTAGE | $755.99 | ↓ -23% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $823.75 | ↓ -16% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $827.31 | ↓ -16% |
| VACCN | ALL PRODUCTS | $985.43 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $985.43 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $985.43 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $985.43 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,034.70 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $1,182.51 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +21% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↑ +85% |
| CIGNA | HMO | $2,247.00 | ↑ +128% |
| CIGNA | PPO | $2,518.00 | ↑ +156% |
| BERGEN RISK | ALL PRODUCTS | $2,674.50 | ↑ +171% |
| BEACON | ALL PRODUCTS | $2,674.50 | ↑ +171% |
| HORIZON | PIP | $2,717.29 | ↑ +176% |
| QUALCARE | PPO | $2,770.78 | ↑ +181% |
| AETNA | ASA | $2,792.18 | ↑ +183% |
| HORIZON | OMNIA | $2,829.26 | ↑ +187% |
| CIGNA | BH | $2,852.80 | ↑ +189% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,031.10 | ↑ +208% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,031.10 | ↑ +208% |
| AMERIHEALTH | LOCAL HMO | $3,115.26 | ↑ +216% |
| QUALCARE | WORKERS COMP | $3,138.08 | ↑ +218% |
| HORIZON | SHP | $3,461.52 | ↑ +251% |
| HORIZON | HMO | $3,479.70 | ↑ +253% |
| HORIZON | INDEMNITY | $3,517.86 | ↑ +257% |
| AMERIHEALTH | REGIONAL HMO | $3,528.20 | ↑ +258% |
| HORIZON | PPO | $3,566.00 | ↑ +262% |
| OXFORD | ALL PRODUCTS | $4,165.00 | ↑ +323% |
| UNITED HEALTHCARE | HMO | $4,973.00 | ↑ +405% |
| QUALCARE | HMO | $6,256.00 | ↑ +535% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +931% |
| AETNA | PPO | $10,202.00 | ↑ +935% |
| AETNA | HMO | $10,202.00 | ↑ +935% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +1383% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $985.43 | $985.43 – $1,182.51 |
| Hackensack University Medical Center | Hackensack | $1,048.46 | $223.00 – $1,100.88 |
| Ocean University Medical Center | Brick | $972.98 | $215.99 – $1,583.22 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $986.28 | $151.50 – $1,583.22 |
| Palisades Medical Center | North Bergen | $1,048.46 | $149.23 – $1,142.82 |
| Raritan Bay Medical Center | Perth Amboy | $986.28 | $189.38 – $1,456.08 |
| Riverview Medical Center | Red Bank | $985.43 | $215.99 – $1,182.51 |
| Southern Ocean Medical Center | Manahawkin | $972.98 | $215.99 – $1,167.58 |