Interrog evl pm/ldls pm ip at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$41.27
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.
$275.00
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.
$41.27 with HORIZON BCBS BRAVEN vs $275.00 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 |
|---|---|---|---|
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $41.27 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $41.27 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $41.27 | ↑ +0% |
| VACCN | ALL PRODUCTS | $41.27 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $41.27 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $43.34 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $44.99 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $45.65 | ↑ +11% |
| CLOVER | MEDICARE ADVANTAGE | $49.50 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $49.53 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $63.53 | ↑ +54% |
| KARNA | MEDICARE ADVANTAGE | $94.86 | ↑ +130% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $161.98 | ↑ +292% |
| OXFORD | ALL PRODUCTS | $187.39 | ↑ +354% |
| HORIZON | MANAGED MEDICAID | $189.72 | ↑ +360% |
| HORIZON | WORKERS COMP | $198.72 | ↑ +382% |
| BERGEN RISK | ALL PRODUCTS | $206.25 | ↑ +400% |
| BEACON | ALL PRODUCTS | $206.25 | ↑ +400% |
| HORIZON | PIP | $209.55 | ↑ +408% |
| QUALCARE | PPO | $213.68 | ↑ +418% |
| QUALCARE | HMO | $213.68 | ↑ +418% |
| AETNA | ASA | $215.33 | ↑ +422% |
| HORIZON | OMNIA | $218.19 | ↑ +429% |
| CIGNA | BH | $220.00 | ↑ +433% |
| UNITED HEALTHCARE | HMO | $233.67 | ↑ +466% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $233.75 | ↑ +466% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $233.75 | ↑ +466% |
| AMERIHEALTH | LOCAL HMO | $240.24 | ↑ +482% |
| QUALCARE | WORKERS COMP | $242.00 | ↑ +486% |
| AETNA | HMO | $247.50 | ↑ +500% |
| AETNA | PPO | $247.50 | ↑ +500% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $247.50 | ↑ +500% |
| CIGNA | PPO | $262.98 | ↑ +537% |
| CIGNA | HMO | $262.98 | ↑ +537% |
| HORIZON | SHP | $266.94 | ↑ +547% |
| HORIZON | HMO | $268.35 | ↑ +550% |
| HORIZON | INDEMNITY | $271.29 | ↑ +557% |
| AMERIHEALTH | REGIONAL HMO | $272.09 | ↑ +559% |
| HORIZON | PPO | $275.00 | ↑ +566% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Interrog evl pm/ldls pm ip at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $50.30 | $29.03 – $81.50 |
| Community Medical Center | Toms River | $55.58 | $36.58 – $81.09 |
| Newark Beth Israel Medical Center | Newark | $49.78 | $29.88 – $83.68 |
| Jersey City Medical Center | Jersey City | $55.69 | $37.57 – $87.38 |
| Bayshore Medical Center | Holmdel | $41.27 | $41.27 – $49.53 |
| Hackensack University Medical Center | Hackensack | $43.91 | $35.13 – $2,033.00 |
| Ocean University Medical Center | Brick | $40.75 | $37.29 – $94.86 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $41.31 | $37.29 – $1,042.00 |