Ins icd gen exist sgl lead at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$24,844.79
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.
$55,935.00
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.
$748.82 with KARNA vs $115,710.00 with OXFORD — 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 | $748.82 | ↓ -97% |
| AETNA | MANAGED MEDICAID | $9,285.21 | ↓ -63% |
| CLOVER | MEDICARE ADVANTAGE | $10,068.30 | ↓ -59% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $12,920.99 | ↓ -48% |
| QUALCARE | PPO | $14,649.00 | ↓ -41% |
| QUALCARE | HMO | $15,262.00 | ↓ -39% |
| WELLCARE | MEDICARE ADVANTAGE | $24,844.79 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $24,844.79 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $24,844.79 | ↑ +0% |
| VACCN | ALL PRODUCTS | $24,844.79 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $24,844.79 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $26,087.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $27,080.82 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $29,813.75 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $32,945.72 | ↑ +33% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $35,798.40 | ↑ +44% |
| HORIZON | MANAGED MEDICAID | $38,589.56 | ↑ +55% |
| HORIZON | WORKERS COMP | $40,418.63 | ↑ +63% |
| BERGEN RISK | ALL PRODUCTS | $41,951.25 | ↑ +69% |
| BEACON | ALL PRODUCTS | $41,951.25 | ↑ +69% |
| HORIZON | PIP | $42,622.47 | ↑ +72% |
| AETNA | ASA | $43,797.11 | ↑ +76% |
| HORIZON | OMNIA | $44,378.83 | ↑ +79% |
| CIGNA | BH | $44,748.00 | ↑ +80% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $47,544.75 | ↑ +91% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $47,544.75 | ↑ +91% |
| AMERIHEALTH | LOCAL HMO | $48,864.82 | ↑ +97% |
| QUALCARE | WORKERS COMP | $49,222.80 | ↑ +98% |
| AETNA | HMO | $50,341.50 | ↑ +103% |
| AETNA | PPO | $50,341.50 | ↑ +103% |
| CIGNA | HMO | $53,490.64 | ↑ +115% |
| CIGNA | PPO | $53,490.64 | ↑ +115% |
| HORIZON | SHP | $54,296.10 | ↑ +119% |
| HORIZON | HMO | $54,581.37 | ↑ +120% |
| HORIZON | INDEMNITY | $55,179.88 | ↑ +122% |
| AMERIHEALTH | REGIONAL HMO | $55,342.09 | ↑ +123% |
| HORIZON | PPO | $55,935.00 | ↑ +125% |
| UNITED HEALTHCARE | HMO | $114,617.00 | ↑ +361% |
| OXFORD | ALL PRODUCTS | $115,710.00 | ↑ +366% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ins icd gen exist sgl lead at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $184.23 – $49,061.98 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $25,182.83 – $50,365.66 |
| Community Medical Center | Toms River | $3,786.00 | $24,530.99 – $48,816.67 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $25,182.83 – $50,113.83 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $189.65 – $50,365.66 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $238.42 – $52,603.62 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $24,844.79 – $49,441.13 |
| Bayshore Medical Center | Holmdel | $24,844.79 | $24,844.79 – $29,813.75 |