Ins cath ren art 2nd+ bi at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$3,483.84
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.
$8,580.00
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.
$830.51 with KARNA vs $8,580.00 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 | $830.51 | ↓ -76% |
| AETNA | MANAGED MEDICAID | $1,424.28 | ↓ -59% |
| CLOVER | MEDICARE ADVANTAGE | $1,544.40 | ↓ -56% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,981.98 | ↓ -43% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,483.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,483.84 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,658.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,797.39 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4,180.61 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $4,847.70 | ↑ +39% |
| UNITED HEALTHCARE | HMO | $4,847.70 | ↑ +39% |
| QUALCARE | HMO | $4,984.98 | ↑ +43% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $5,053.62 | ↑ +45% |
| HORIZON | WORKERS COMP | $6,199.91 | ↑ +78% |
| BEACON | ALL PRODUCTS | $6,435.00 | ↑ +85% |
| BERGEN RISK | ALL PRODUCTS | $6,435.00 | ↑ +85% |
| HORIZON | PIP | $6,537.96 | ↑ +88% |
| QUALCARE | PPO | $6,666.66 | ↑ +91% |
| AETNA | ASA | $6,718.14 | ↑ +93% |
| HORIZON | OMNIA | $6,807.37 | ↑ +95% |
| CIGNA | BH | $6,864.00 | ↑ +97% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $6,864.00 | ↑ +97% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $7,293.00 | ↑ +109% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,293.00 | ↑ +109% |
| AMERIHEALTH | LOCAL HMO | $7,495.49 | ↑ +115% |
| QUALCARE | WORKERS COMP | $7,550.40 | ↑ +117% |
| AETNA | HMO | $7,722.00 | ↑ +122% |
| AETNA | PPO | $7,722.00 | ↑ +122% |
| CIGNA | PPO | $8,205.05 | ↑ +136% |
| CIGNA | HMO | $8,205.05 | ↑ +136% |
| HORIZON | SHP | $8,328.61 | ↑ +139% |
| HORIZON | HMO | $8,372.36 | ↑ +140% |
| HORIZON | INDEMNITY | $8,464.17 | ↑ +143% |
| AMERIHEALTH | REGIONAL HMO | $8,489.05 | ↑ +144% |
| HORIZON | PPO | $8,580.00 | ↑ +146% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ins cath ren art 2nd+ bi at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $1,706.91 – $7,062.48 |
| Community Medical Center | Toms River | $3,786.00 | $1,706.91 – $6,845.28 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $1,706.91 – $7,027.17 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $1,041.39 – $7,062.48 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $1,309.18 – $7,376.29 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,706.91 – $6,932.84 |
| Bayshore Medical Center | Holmdel | $3,483.84 | $3,483.84 – $4,180.61 |
| Hackensack University Medical Center | Hackensack | $3,706.68 | $848.42 – $3,892.02 |