Opn tx complx malar fx at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$6,547.81
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.
$12,712.00
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.
$2,084.00 with HORIZON 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $2,084.00 | ↓ -68% |
| AETNA | MANAGED MEDICAID | $2,110.19 | ↓ -68% |
| KARNA | MEDICARE ADVANTAGE | $2,235.54 | ↓ -66% |
| CLOVER | MEDICARE ADVANTAGE | $2,288.16 | ↓ -65% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -64% |
| AETNA | MEDICARE ADVANTAGE | $2,694.94 | ↓ -59% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,936.47 | ↓ -55% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,949.18 | ↓ -55% |
| QUALCARE | HMO | $6,256.00 | ↓ -4% |
| WELLCARE | MEDICARE ADVANTAGE | $6,547.81 | ↑ +0% |
| VACCN | ALL PRODUCTS | $6,547.81 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $6,547.81 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $6,547.81 | ↑ +0% |
| CIGNA | HMO | $6,725.00 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $6,875.20 | ↑ +5% |
| CIGNA | PPO | $7,533.00 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $7,857.37 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $9,534.00 | ↑ +46% |
| BEACON | ALL PRODUCTS | $9,534.00 | ↑ +46% |
| HORIZON | PIP | $9,686.54 | ↑ +48% |
| QUALCARE | PPO | $9,877.22 | ↑ +51% |
| AETNA | ASA | $9,953.50 | ↑ +52% |
| HORIZON | OMNIA | $10,075.00 | ↑ +54% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +55% |
| CIGNA | BH | $10,169.60 | ↑ +55% |
| AETNA | HMO | $10,202.00 | ↑ +56% |
| AETNA | PPO | $10,202.00 | ↑ +56% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $10,805.20 | ↑ +65% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $10,805.20 | ↑ +65% |
| QUALCARE | WORKERS COMP | $10,822.00 | ↑ +65% |
| AMERIHEALTH | LOCAL HMO | $11,105.20 | ↑ +70% |
| HORIZON | SHP | $11,486.00 | ↑ +75% |
| HORIZON | HMO | $12,404.37 | ↑ +89% |
| HORIZON | INDEMNITY | $12,540.39 | ↑ +92% |
| AMERIHEALTH | REGIONAL HMO | $12,577.25 | ↑ +92% |
| HORIZON | PPO | $12,712.00 | ↑ +94% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +123% |
| OXFORD | ALL PRODUCTS | $16,418.00 | ↑ +151% |
| UNITED HEALTHCARE | HMO | $19,888.00 | ↑ +204% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Opn tx complx malar fx at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $550.01 – $12,930.22 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $755.65 – $13,273.80 |
| Community Medical Center | Toms River | $3,786.00 | $773.86 – $12,865.57 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $746.54 – $13,207.43 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $566.19 – $13,273.80 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $711.78 – $13,863.61 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,493.09 – $13,030.14 |
| Bayshore Medical Center | Holmdel | $6,547.81 | $6,547.81 – $7,857.37 |