Knee arthroscopy/surgery at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$1,771.43
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.
$9,093.00
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.
$1,509.44 with AETNA vs $19,888.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $1,509.44 | ↓ -15% |
| CLOVER | MEDICARE ADVANTAGE | $1,636.74 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $1,771.43 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,771.43 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,771.43 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,771.43 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $1,771.43 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,860.00 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,930.86 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $1,945.62 | ↑ +10% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,100.48 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $2,125.72 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↑ +34% |
| HORIZON | MANAGED MEDICAID | $3,153.00 | ↑ +78% |
| CIGNA | HMO | $4,412.00 | ↑ +149% |
| CIGNA | PPO | $4,944.00 | ↑ +179% |
| QUALCARE | HMO | $6,256.00 | ↑ +253% |
| BERGEN RISK | ALL PRODUCTS | $6,819.75 | ↑ +285% |
| BEACON | ALL PRODUCTS | $6,819.75 | ↑ +285% |
| HORIZON | PIP | $6,928.87 | ↑ +291% |
| QUALCARE | PPO | $7,065.26 | ↑ +299% |
| AETNA | ASA | $7,119.82 | ↑ +302% |
| HORIZON | OMNIA | $7,214.39 | ↑ +307% |
| CIGNA | BH | $7,274.40 | ↑ +311% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,729.05 | ↑ +336% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $7,729.05 | ↑ +336% |
| AMERIHEALTH | LOCAL HMO | $7,943.64 | ↑ +348% |
| QUALCARE | WORKERS COMP | $8,001.84 | ↑ +352% |
| HORIZON | SHP | $8,826.58 | ↑ +398% |
| HORIZON | HMO | $8,872.95 | ↑ +401% |
| HORIZON | INDEMNITY | $8,970.24 | ↑ +406% |
| AMERIHEALTH | REGIONAL HMO | $8,996.61 | ↑ +408% |
| HORIZON | PPO | $9,093.00 | ↑ +413% |
| AETNA | HMO | $10,202.00 | ↑ +476% |
| AETNA | PPO | $10,202.00 | ↑ +476% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +725% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,984.00 | ↑ +802% |
| OXFORD | ALL PRODUCTS | $16,418.00 | ↑ +827% |
| UNITED HEALTHCARE | HMO | $19,888.00 | ↑ +1023% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Knee arthroscopy/surgery at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $478.69 – $3,498.12 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $705.93 – $3,591.06 |
| Community Medical Center | Toms River | $3,786.00 | $722.94 – $3,480.63 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $697.43 – $3,573.10 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $492.77 – $3,591.06 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $619.48 – $3,750.63 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,394.85 – $3,525.15 |
| Bayshore Medical Center | Holmdel | $1,771.43 | $1,771.43 – $15,984.00 |