Mr sfty implt&/fb asmt stf 1 at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$27.11
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.
$72.00
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.
$11.95 with AETNA vs $4,332.00 with BERGEN RISK — 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 | $11.95 | ↓ -56% |
| CLOVER | MEDICARE ADVANTAGE | $12.96 | ↓ -52% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $16.63 | ↓ -39% |
| AMERIHEALTH | LOCAL HMO | $16.74 | ↓ -38% |
| AMERIHEALTH | REGIONAL HMO | $17.03 | ↓ -37% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $27.11 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $27.11 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $27.11 | ↑ +0% |
| VACCN | ALL PRODUCTS | $27.11 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $27.11 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $28.46 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $29.55 | ↑ +9% |
| AETNA | HMO | $30.57 | ↑ +13% |
| AETNA | PPO | $30.57 | ↑ +13% |
| UNITED HEALTHCARE | DSNP | $32.53 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $40.68 | ↑ +50% |
| OXFORD | ALL PRODUCTS | $40.68 | ↑ +50% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $49.68 | ↑ +83% |
| HORIZON | WORKERS COMP | $52.03 | ↑ +92% |
| HORIZON | PIP | $54.86 | ↑ +102% |
| AETNA | ASA | $56.38 | ↑ +108% |
| HORIZON | OMNIA | $57.12 | ↑ +111% |
| CIGNA | BH | $57.60 | ↑ +112% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $61.20 | ↑ +126% |
| QUALCARE | WORKERS COMP | $65.38 | ↑ +141% |
| CIGNA | HMO | $68.85 | ↑ +154% |
| CIGNA | PPO | $68.85 | ↑ +154% |
| HORIZON | SHP | $69.89 | ↑ +158% |
| HORIZON | HMO | $70.26 | ↑ +159% |
| HORIZON | INDEMNITY | $71.03 | ↑ +162% |
| HORIZON | PPO | $72.00 | ↑ +166% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $650.00 | ↑ +2298% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $951.00 | ↑ +3408% |
| QUALCARE | HMO | $2,083.00 | ↑ +7584% |
| QUALCARE | PPO | $2,218.00 | ↑ +8081% |
| BEACON | ALL PRODUCTS | $3,903.00 | ↑ +14297% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +15879% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Mr sfty implt&/fb asmt stf 1 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $13.13 | $12.27 – $53.52 |
| Cooperman Barnabas Medical Center | Livingston | $14.83 | $7.74 – $54.96 |
| Community Medical Center | Toms River | $14.51 | $7.74 – $53.25 |
| Clara Maass Medical Center | Belleville | $13.92 | $7.74 – $54.69 |
| Newark Beth Israel Medical Center | Newark | $14.58 | $7.74 – $54.96 |
| Jersey City Medical Center | Jersey City | $14.54 | $7.74 – $57.39 |
| Monmouth Medical Center | Long Branch | $15.31 | $7.74 – $53.95 |
| Bayshore Medical Center | Holmdel | $27.11 | $17.04 – $4,332.00 |