Insj stablj dev w/dcmprn at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$20,355.21
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.
$30,800.00
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.
$1,827.00 with HORIZON vs $27,686.12 with CIGNA — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↓ -91% |
| KARNA | MEDICARE ADVANTAGE | $2,242.52 | ↓ -89% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -88% |
| AETNA | MANAGED MEDICAID | $5,112.80 | ↓ -75% |
| CLOVER | MEDICARE ADVANTAGE | $5,544.00 | ↓ -73% |
| QUALCARE | HMO | $6,256.00 | ↓ -69% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $7,114.80 | ↓ -65% |
| HORIZON | OMNIA | $10,075.00 | ↓ -51% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↓ -50% |
| AETNA | PPO | $10,202.00 | ↓ -50% |
| AETNA | HMO | $10,202.00 | ↓ -50% |
| QUALCARE | PPO | $10,231.00 | ↓ -50% |
| QUALCARE | WORKERS COMP | $10,822.00 | ↓ -47% |
| HORIZON | SHP | $11,486.00 | ↓ -44% |
| HORIZON | HMO | $12,442.00 | ↓ -39% |
| HORIZON | INDEMNITY | $12,559.00 | ↓ -38% |
| HORIZON | PPO | $12,766.00 | ↓ -37% |
| AMERIHEALTH | LOCAL HMO | $13,295.00 | ↓ -35% |
| BEACON | ALL PRODUCTS | $14,057.00 | ↓ -31% |
| HORIZON | WORKERS COMP | $14,615.00 | ↓ -28% |
| AMERIHEALTH | REGIONAL HMO | $15,027.00 | ↓ -26% |
| BERGEN RISK | ALL PRODUCTS | $15,603.00 | ↓ -23% |
| OXFORD | ALL PRODUCTS | $19,413.00 | ↓ -5% |
| WELLCARE | MEDICARE ADVANTAGE | $20,355.21 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $20,355.21 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $20,355.21 | ↑ +0% |
| VACCN | ALL PRODUCTS | $20,355.21 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $20,355.21 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $21,372.97 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $22,187.18 | ↑ +9% |
| HORIZON | PIP | $23,469.60 | ↑ +15% |
| UNITED HEALTHCARE | HMO | $23,535.00 | ↑ +16% |
| AETNA | ASA | $24,116.40 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $24,426.25 | ↑ +20% |
| CIGNA | BH | $24,640.00 | ↑ +21% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $26,180.00 | ↑ +29% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $26,180.00 | ↑ +29% |
| CIGNA | PPO | $27,686.12 | ↑ +36% |
| CIGNA | HMO | $27,686.12 | ↑ +36% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Insj stablj dev w/dcmprn at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $551.73 – $40,196.24 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $544.96 – $41,264.32 |
| Community Medical Center | Toms River | $3,786.00 | $558.09 – $39,995.26 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $538.40 – $41,058.00 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $567.96 – $41,264.32 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $590.92 – $43,097.89 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,076.79 – $40,506.87 |
| Bayshore Medical Center | Holmdel | $20,355.21 | $20,355.21 – $24,426.25 |