Limited visual field xm at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$65.75
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.
?
What you pay up front if you don't use insurance.
$233.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$38.68 with AETNA vs $14,615.00 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $38.68 | ↓ -41% |
| CLOVER | MEDICARE ADVANTAGE | $41.94 | ↓ -36% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $53.82 | ↓ -18% |
| KARNA | MEDICARE ADVANTAGE | $56.30 | ↓ -14% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $65.75 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $65.75 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $65.75 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $65.75 | ↑ +0% |
| VACCN | ALL PRODUCTS | $65.75 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $69.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $71.66 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $78.90 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $137.24 | ↑ +109% |
| OXFORD | ALL PRODUCTS | $158.77 | ↑ +141% |
| BERGEN RISK | ALL PRODUCTS | $174.75 | ↑ +166% |
| BEACON | ALL PRODUCTS | $174.75 | ↑ +166% |
| HORIZON | PIP | $177.55 | ↑ +170% |
| QUALCARE | PPO | $181.04 | ↑ +175% |
| AETNA | ASA | $182.44 | ↑ +177% |
| HORIZON | OMNIA | $184.86 | ↑ +181% |
| CIGNA | BH | $186.40 | ↑ +183% |
| UNITED HEALTHCARE | HMO | $197.98 | ↑ +201% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $198.05 | ↑ +201% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $198.05 | ↑ +201% |
| AMERIHEALTH | LOCAL HMO | $203.55 | ↑ +210% |
| QUALCARE | WORKERS COMP | $205.04 | ↑ +212% |
| CIGNA | HMO | $222.82 | ↑ +239% |
| CIGNA | PPO | $222.82 | ↑ +239% |
| HORIZON | SHP | $226.17 | ↑ +244% |
| HORIZON | HMO | $227.36 | ↑ +246% |
| HORIZON | INDEMNITY | $229.85 | ↑ +250% |
| AMERIHEALTH | REGIONAL HMO | $230.53 | ↑ +251% |
| HORIZON | PPO | $233.00 | ↑ +254% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↑ +2679% |
| QUALCARE | HMO | $6,256.00 | ↑ +9415% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +15357% |
| AETNA | PPO | $10,202.00 | ↑ +15416% |
| AETNA | HMO | $10,202.00 | ↑ +15416% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +22128% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Limited visual field xm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $65.75 | $65.75 – $78.90 |
| Hackensack University Medical Center | Hackensack | $69.95 | $55.96 – $73.45 |
| Ocean University Medical Center | Brick | $64.92 | $56.30 – $77.90 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $65.80 | $58.93 – $65.80 |
| Palisades Medical Center | North Bergen | $69.95 | $58.93 – $76.25 |
| Raritan Bay Medical Center | Perth Amboy | $65.80 | $58.93 – $78.97 |
| Riverview Medical Center | Red Bank | $65.75 | $56.30 – $78.90 |
| Southern Ocean Medical Center | Manahawkin | $64.92 | $56.30 – $77.90 |