Insert cath pleura with image at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$1,719.44
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.
$3,520.00
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.
$298.04 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 | $298.04 | ↓ -83% |
| AETNA | MANAGED MEDICAID | $584.32 | ↓ -66% |
| CLOVER | MEDICARE ADVANTAGE | $633.60 | ↓ -63% |
| AETNA | MEDICARE ADVANTAGE | $746.24 | ↓ -57% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $813.12 | ↓ -53% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $816.64 | ↓ -53% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -31% |
| VACCN | ALL PRODUCTS | $1,719.44 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $1,719.44 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,719.44 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,719.44 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,805.41 | ↑ +5% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↑ +6% |
| UNITED HEALTHCARE | DSNP | $2,063.33 | ↑ +20% |
| CIGNA | HMO | $2,247.00 | ↑ +31% |
| CIGNA | PPO | $2,518.00 | ↑ +46% |
| BEACON | ALL PRODUCTS | $2,640.00 | ↑ +54% |
| BERGEN RISK | ALL PRODUCTS | $2,640.00 | ↑ +54% |
| HORIZON | PIP | $2,682.24 | ↑ +56% |
| QUALCARE | PPO | $2,735.04 | ↑ +59% |
| AETNA | ASA | $2,756.16 | ↑ +60% |
| HORIZON | OMNIA | $2,792.77 | ↑ +62% |
| CIGNA | BH | $2,816.00 | ↑ +64% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,992.00 | ↑ +74% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,992.00 | ↑ +74% |
| AMERIHEALTH | LOCAL HMO | $3,075.07 | ↑ +79% |
| QUALCARE | WORKERS COMP | $3,097.60 | ↑ +80% |
| HORIZON | SHP | $3,416.86 | ↑ +99% |
| HORIZON | HMO | $3,434.82 | ↑ +100% |
| HORIZON | INDEMNITY | $3,472.48 | ↑ +102% |
| AMERIHEALTH | REGIONAL HMO | $3,482.69 | ↑ +103% |
| HORIZON | PPO | $3,520.00 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $4,165.00 | ↑ +142% |
| UNITED HEALTHCARE | HMO | $4,973.00 | ↑ +189% |
| QUALCARE | HMO | $6,256.00 | ↑ +264% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +491% |
| AETNA | PPO | $10,202.00 | ↑ +493% |
| AETNA | HMO | $10,202.00 | ↑ +493% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +750% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Insert cath pleura with image at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $707.43 – $3,485.68 |
| Community Medical Center | Toms River | $3,786.00 | $707.43 – $3,378.46 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $707.43 – $3,468.25 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $440.72 – $3,640.55 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $707.43 – $3,421.69 |
| Bayshore Medical Center | Holmdel | $1,719.44 | $1,719.44 – $2,063.33 |
| Hackensack University Medical Center | Hackensack | $1,829.42 | $305.73 – $1,920.90 |
| Ocean University Medical Center | Brick | $1,697.72 | $298.04 – $2,263.81 |