Ins lv lead exist pm/icd at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$11,583.66
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.
$27,454.00
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.
$1,026.84 with KARNA vs $59,906.00 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 | $1,026.84 | ↓ -91% |
| AETNA | MANAGED MEDICAID | $4,557.36 | ↓ -61% |
| CLOVER | MEDICARE ADVANTAGE | $4,941.72 | ↓ -57% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $6,341.87 | ↓ -45% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $11,583.66 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $11,583.66 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $11,583.66 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $11,583.66 | ↑ +0% |
| VACCN | ALL PRODUCTS | $11,583.66 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $12,162.84 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $12,626.18 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $13,900.39 | ↑ +20% |
| QUALCARE | PPO | $14,649.00 | ↑ +26% |
| QUALCARE | HMO | $15,262.00 | ↑ +32% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $16,170.41 | ↑ +40% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $17,570.56 | ↑ +52% |
| HORIZON | MANAGED MEDICAID | $18,940.51 | ↑ +64% |
| HORIZON | WORKERS COMP | $19,838.26 | ↑ +71% |
| BEACON | ALL PRODUCTS | $20,590.50 | ↑ +78% |
| BERGEN RISK | ALL PRODUCTS | $20,590.50 | ↑ +78% |
| HORIZON | PIP | $20,919.95 | ↑ +81% |
| AETNA | ASA | $21,496.48 | ↑ +86% |
| HORIZON | OMNIA | $21,782.00 | ↑ +88% |
| CIGNA | BH | $21,963.20 | ↑ +90% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $23,335.90 | ↑ +101% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $23,335.90 | ↑ +101% |
| AMERIHEALTH | LOCAL HMO | $23,983.81 | ↑ +107% |
| QUALCARE | WORKERS COMP | $24,159.52 | ↑ +109% |
| AETNA | HMO | $24,708.60 | ↑ +113% |
| AETNA | PPO | $24,708.60 | ↑ +113% |
| CIGNA | HMO | $26,254.26 | ↑ +127% |
| CIGNA | PPO | $26,254.26 | ↑ +127% |
| HORIZON | SHP | $26,649.60 | ↑ +130% |
| HORIZON | HMO | $26,789.61 | ↑ +131% |
| HORIZON | INDEMNITY | $27,083.37 | ↑ +134% |
| AMERIHEALTH | REGIONAL HMO | $27,162.99 | ↑ +134% |
| HORIZON | PPO | $27,454.00 | ↑ +137% |
| UNITED HEALTHCARE | HMO | $59,272.00 | ↑ +412% |
| OXFORD | ALL PRODUCTS | $59,906.00 | ↑ +417% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ins lv lead exist pm/icd at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $252.64 – $22,874.70 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $486.38 – $23,482.52 |
| Community Medical Center | Toms River | $3,786.00 | $498.10 – $22,760.33 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $480.52 – $23,365.11 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $260.07 – $23,482.52 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $326.95 – $24,525.95 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $961.04 – $23,051.48 |
| Bayshore Medical Center | Holmdel | $11,583.66 | $11,583.66 – $13,900.39 |