IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$78.78
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.
$688.00
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.
$48.09 with KARNA vs $1,147.00 with UNITED HEALTHCARE — 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 | $48.09 | ↓ -39% |
| WELLCARE | MEDICARE ADVANTAGE | $78.78 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $78.78 | ↑ +0% |
| VACCN | ALL PRODUCTS | $78.78 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $78.78 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $78.78 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $82.71 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $85.86 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $94.53 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $114.21 | ↑ +45% |
| CLOVER | MEDICARE ADVANTAGE | $123.84 | ↑ +57% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $158.93 | ↑ +102% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $405.23 | ↑ +414% |
| HORIZON | MANAGED MEDICAID | $474.65 | ↑ +503% |
| HORIZON | WORKERS COMP | $497.15 | ↑ +531% |
| BEACON | ALL PRODUCTS | $516.00 | ↑ +555% |
| BERGEN RISK | ALL PRODUCTS | $516.00 | ↑ +555% |
| HORIZON | PIP | $524.26 | ↑ +565% |
| QUALCARE | PPO | $534.58 | ↑ +579% |
| QUALCARE | HMO | $534.58 | ↑ +579% |
| AETNA | ASA | $538.70 | ↑ +584% |
| HORIZON | OMNIA | $545.86 | ↑ +593% |
| CIGNA | BH | $550.40 | ↑ +599% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $584.80 | ↑ +642% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $584.80 | ↑ +642% |
| AMERIHEALTH | LOCAL HMO | $601.04 | ↑ +663% |
| QUALCARE | WORKERS COMP | $605.44 | ↑ +669% |
| AETNA | PPO | $619.20 | ↑ +686% |
| AETNA | HMO | $619.20 | ↑ +686% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $619.20 | ↑ +686% |
| CIGNA | PPO | $657.93 | ↑ +735% |
| CIGNA | HMO | $657.93 | ↑ +735% |
| HORIZON | SHP | $667.84 | ↑ +748% |
| HORIZON | HMO | $671.35 | ↑ +752% |
| HORIZON | INDEMNITY | $678.71 | ↑ +762% |
| AMERIHEALTH | REGIONAL HMO | $680.71 | ↑ +764% |
| HORIZON | PPO | $688.00 | ↑ +773% |
| OXFORD | ALL PRODUCTS | $985.00 | ↑ +1150% |
| UNITED HEALTHCARE | HMO | $1,147.00 | ↑ +1356% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $140.39 | $14.72 – $155.56 |
| Cooperman Barnabas Medical Center | Livingston | $158.50 | $29.88 – $159.70 |
| Community Medical Center | Toms River | $155.13 | $30.60 – $154.78 |
| Clara Maass Medical Center | Belleville | $150.16 | $29.52 – $158.90 |
| Newark Beth Israel Medical Center | Newark | $155.80 | $15.15 – $159.70 |
| Jersey City Medical Center | Jersey City | $155.43 | $19.05 – $166.78 |
| Monmouth Medical Center | Long Branch | $163.66 | $59.04 – $156.77 |
| Bayshore Medical Center | Holmdel | $78.78 | $78.78 – $875.00 |