Nr lnr acclrtr tx max 5 sessions at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$1,943.55
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.
$27,384.00
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.
$1,850.75 with KARNA vs $27,384.00 with HORIZON — 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 | $1,850.75 | ↓ -5% |
| WELLCARE | MEDICARE ADVANTAGE | $1,943.55 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,943.55 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,943.55 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,943.55 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $1,943.55 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,040.72 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,118.47 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,332.26 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $4,545.74 | ↑ +134% |
| CLOVER | MEDICARE ADVANTAGE | $4,929.12 | ↑ +154% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $6,325.70 | ↑ +225% |
| AMERIHEALTH | LOCAL HMO | $7,966.01 | ↑ +310% |
| AMERIHEALTH | REGIONAL HMO | $8,713.59 | ↑ +348% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $16,129.18 | ↑ +730% |
| OXFORD | ALL PRODUCTS | $18,659.46 | ↑ +860% |
| HORIZON | WORKERS COMP | $19,787.68 | ↑ +918% |
| BEACON | ALL PRODUCTS | $20,538.00 | ↑ +957% |
| BERGEN RISK | ALL PRODUCTS | $20,538.00 | ↑ +957% |
| HORIZON | PIP | $20,866.61 | ↑ +974% |
| QUALCARE | WORKERS COMP | $21,277.37 | ↑ +995% |
| QUALCARE | HMO | $21,431.00 | ↑ +1003% |
| AETNA | ASA | $21,441.67 | ↑ +1003% |
| HORIZON | OMNIA | $21,726.47 | ↑ +1018% |
| CIGNA | BH | $21,907.20 | ↑ +1027% |
| QUALCARE | PPO | $22,558.00 | ↑ +1061% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $23,002.56 | ↑ +1084% |
| AETNA | HMO | $23,183.29 | ↑ +1093% |
| AETNA | PPO | $23,183.29 | ↑ +1093% |
| UNITED HEALTHCARE | HMO | $23,268.18 | ↑ +1097% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $23,276.40 | ↑ +1098% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $23,276.40 | ↑ +1098% |
| CIGNA | PPO | $26,187.32 | ↑ +1247% |
| CIGNA | HMO | $26,187.32 | ↑ +1247% |
| HORIZON | SHP | $26,581.65 | ↑ +1268% |
| HORIZON | HMO | $26,721.31 | ↑ +1275% |
| HORIZON | INDEMNITY | $27,014.32 | ↑ +1290% |
| HORIZON | PPO | $27,384.00 | ↑ +1309% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Nr lnr acclrtr tx max 5 sessions at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $4,355.20 | $376.15 – $5,715.00 |
| Cooperman Barnabas Medical Center | Livingston | $4,751.22 | $1,639.00 – $6,289.00 |
| Community Medical Center | Toms River | $4,812.30 | $1,672.00 – $5,176.00 |
| Clara Maass Medical Center | Belleville | $4,400.26 | $1,639.00 – $4,435.00 |
| Newark Beth Israel Medical Center | Newark | $4,670.50 | $539.01 – $4,831.00 |
| Jersey City Medical Center | Jersey City | $4,821.58 | $677.61 – $5,514.00 |
| Monmouth Medical Center | Long Branch | $5,076.81 | $1,639.00 – $5,277.00 |
| Bayshore Medical Center | Holmdel | $1,943.55 | $1,943.55 – $21,431.00 |