Intrm oph exam est patient at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$142.64
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.
$372.00
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.
$61.75 with AETNA vs $372.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $61.75 | ↓ -57% |
| CLOVER | MEDICARE ADVANTAGE | $66.96 | ↓ -53% |
| KARNA | MEDICARE ADVANTAGE | $81.75 | ↓ -43% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $85.93 | ↓ -40% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $142.64 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $142.64 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $142.64 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $142.64 | ↑ +0% |
| VACCN | ALL PRODUCTS | $142.64 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $149.77 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $155.48 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $171.17 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $219.11 | ↑ +54% |
| OXFORD | ALL PRODUCTS | $253.48 | ↑ +78% |
| HORIZON | MANAGED MEDICAID | $256.64 | ↑ +80% |
| HORIZON | WORKERS COMP | $268.81 | ↑ +88% |
| BERGEN RISK | ALL PRODUCTS | $279.00 | ↑ +96% |
| BEACON | ALL PRODUCTS | $279.00 | ↑ +96% |
| HORIZON | PIP | $283.46 | ↑ +99% |
| QUALCARE | PPO | $289.04 | ↑ +103% |
| QUALCARE | HMO | $289.04 | ↑ +103% |
| AETNA | ASA | $291.28 | ↑ +104% |
| HORIZON | OMNIA | $295.14 | ↑ +107% |
| CIGNA | BH | $297.60 | ↑ +109% |
| UNITED HEALTHCARE | HMO | $316.09 | ↑ +122% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $316.20 | ↑ +122% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $316.20 | ↑ +122% |
| AMERIHEALTH | LOCAL HMO | $324.98 | ↑ +128% |
| QUALCARE | WORKERS COMP | $327.36 | ↑ +130% |
| AETNA | PPO | $334.80 | ↑ +135% |
| AETNA | HMO | $334.80 | ↑ +135% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $334.80 | ↑ +135% |
| CIGNA | HMO | $355.74 | ↑ +149% |
| CIGNA | PPO | $355.74 | ↑ +149% |
| HORIZON | SHP | $361.10 | ↑ +153% |
| HORIZON | HMO | $363.00 | ↑ +154% |
| HORIZON | INDEMNITY | $366.98 | ↑ +157% |
| AMERIHEALTH | REGIONAL HMO | $368.06 | ↑ +158% |
| HORIZON | PPO | $372.00 | ↑ +161% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Intrm oph exam est patient at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jersey City Medical Center | Jersey City | $47.37 | $52.60 – $302.02 |
| Bayshore Medical Center | Holmdel | $142.64 | $142.64 – $171.17 |
| Hackensack University Medical Center | Hackensack | $151.77 | $84.56 – $4,994.00 |
| Ocean University Medical Center | Brick | $140.84 | $81.75 – $2,080.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.76 | $84.56 – $2,437.00 |
| Palisades Medical Center | North Bergen | $151.77 | $57.56 – $576.00 |
| Raritan Bay Medical Center | Perth Amboy | $142.76 | $73.05 – $171.32 |
| Riverview Medical Center | Red Bank | $142.64 | $81.75 – $171.17 |