Insertion single tranvenous electrode/ppm/implantable defibrillator at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$9,160.35
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.
$11,223.00
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.
$756.84 with KARNA vs $15,262.00 with QUALCARE — 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 | $756.84 | ↓ -92% |
| AETNA | MANAGED MEDICAID | $1,863.02 | ↓ -80% |
| CLOVER | MEDICARE ADVANTAGE | $2,020.14 | ↓ -78% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,592.51 | ↓ -72% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $6,610.35 | ↓ -28% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $7,182.72 | ↓ -22% |
| OXFORD | ALL PRODUCTS | $7,647.35 | ↓ -17% |
| HORIZON | MANAGED MEDICAID | $7,742.75 | ↓ -15% |
| HORIZON | WORKERS COMP | $8,109.74 | ↓ -11% |
| BERGEN RISK | ALL PRODUCTS | $8,417.25 | ↓ -8% |
| BEACON | ALL PRODUCTS | $8,417.25 | ↓ -8% |
| HORIZON | PIP | $8,551.93 | ↓ -7% |
| AETNA | ASA | $8,787.61 | ↓ -4% |
| HORIZON | OMNIA | $8,904.33 | ↓ -3% |
| CIGNA | BH | $8,978.40 | ↓ -2% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $9,160.35 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $9,160.35 | ↑ +0% |
| VACCN | ALL PRODUCTS | $9,160.35 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $9,160.35 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $9,160.35 | ↑ +0% |
| UNITED HEALTHCARE | HMO | $9,536.18 | ↑ +4% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $9,539.55 | ↑ +4% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $9,539.55 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $9,618.37 | ↑ +5% |
| AMERIHEALTH | LOCAL HMO | $9,804.41 | ↑ +7% |
| QUALCARE | WORKERS COMP | $9,876.24 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $9,984.78 | ↑ +9% |
| AETNA | PPO | $10,100.70 | ↑ +10% |
| AETNA | HMO | $10,100.70 | ↑ +10% |
| CIGNA | PPO | $10,732.55 | ↑ +17% |
| CIGNA | HMO | $10,732.55 | ↑ +17% |
| HORIZON | SHP | $10,894.17 | ↑ +19% |
| HORIZON | HMO | $10,951.40 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $10,992.42 | ↑ +20% |
| HORIZON | INDEMNITY | $11,071.49 | ↑ +21% |
| AMERIHEALTH | REGIONAL HMO | $11,104.04 | ↑ +21% |
| HORIZON | PPO | $11,223.00 | ↑ +23% |
| QUALCARE | PPO | $14,649.00 | ↑ +60% |
| QUALCARE | HMO | $15,262.00 | ↑ +67% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Insertion single tranvenous electrode/ppm/implantable defibrillator at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $408.36 – $18,569.98 |
| Community Medical Center | Toms River | $3,786.00 | $418.20 – $17,998.85 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $403.44 – $18,477.13 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $240.98 – $19,395.12 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $806.88 – $18,229.10 |
| Bayshore Medical Center | Holmdel | $9,160.35 | $9,160.35 – $10,992.42 |
| Hackensack University Medical Center | Hackensack | $9,746.29 | $779.18 – $10,233.61 |
| Ocean University Medical Center | Brick | $9,044.65 | $104.00 – $10,853.58 |