Non-blind interatrial shunt at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$30,439.20
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.
not published by hospital
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.
$30,439.20 with WELLCARE vs $36,527.04 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 |
|---|---|---|---|
| WELLCARE | MANAGED MEDICAID | $30,439.20 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $30,439.20 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $30,439.20 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $30,439.20 | ↑ +0% |
| VACCN | ALL PRODUCTS | $30,439.20 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $31,961.16 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $33,178.73 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $36,527.04 | ↑ +20% |
Visitor-reported prices
Comments
Non-blind interatrial shunt at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $30,465.60 | $27,500.50 – $30,465.60 |
| Palisades Medical Center | North Bergen | $32,386.24 | $32,386.24 – $35,301.00 |
| Raritan Bay Medical Center | Perth Amboy | $30,465.60 | $30,465.60 – $36,558.72 |
| Riverview Medical Center | Red Bank | $30,439.20 | $30,439.20 – $36,527.04 |
| Southern Ocean Medical Center | Manahawkin | $30,054.75 | $30,054.75 – $36,065.70 |
| Trinitas Regional Medical Center | Elizabeth | not published | $30,054.75 – $60,109.50 |
| Cooperman Barnabas Medical Center | Livingston | not published | $30,853.36 – $61,706.72 |
| Community Medical Center | Toms River | not published | $30,054.75 – $59,808.95 |