Oth resp proc, group at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$43.44
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.
$385.00
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.
$23.46 with KARNA vs $1,011.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $23.46 | ↓ -46% |
| WELLCARE | MEDICARE ADVANTAGE | $43.44 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $43.44 | ↑ +0% |
| VACCN | ALL PRODUCTS | $43.44 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $43.44 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $43.44 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $45.62 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $47.35 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $52.13 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $63.91 | ↑ +47% |
| CLOVER | MEDICARE ADVANTAGE | $69.30 | ↑ +60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $88.94 | ↑ +105% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $226.77 | ↑ +422% |
| HORIZON | MANAGED MEDICAID | $265.61 | ↑ +511% |
| HORIZON | WORKERS COMP | $278.20 | ↑ +540% |
| BEACON | ALL PRODUCTS | $288.75 | ↑ +565% |
| BERGEN RISK | ALL PRODUCTS | $288.75 | ↑ +565% |
| HORIZON | PIP | $293.37 | ↑ +575% |
| QUALCARE | PPO | $299.15 | ↑ +589% |
| QUALCARE | HMO | $299.15 | ↑ +589% |
| AETNA | ASA | $301.46 | ↑ +594% |
| HORIZON | OMNIA | $305.46 | ↑ +603% |
| CIGNA | BH | $308.00 | ↑ +609% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $327.25 | ↑ +653% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $327.25 | ↑ +653% |
| AMERIHEALTH | LOCAL HMO | $336.34 | ↑ +674% |
| QUALCARE | WORKERS COMP | $338.80 | ↑ +680% |
| AETNA | PPO | $346.50 | ↑ +698% |
| AETNA | HMO | $346.50 | ↑ +698% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $346.50 | ↑ +698% |
| CIGNA | PPO | $368.18 | ↑ +748% |
| CIGNA | HMO | $368.18 | ↑ +748% |
| HORIZON | SHP | $373.72 | ↑ +760% |
| HORIZON | HMO | $375.68 | ↑ +765% |
| HORIZON | INDEMNITY | $379.80 | ↑ +774% |
| AMERIHEALTH | REGIONAL HMO | $380.92 | ↑ +777% |
| HORIZON | PPO | $385.00 | ↑ +786% |
| OXFORD | ALL PRODUCTS | $604.00 | ↑ +1290% |
| UNITED HEALTHCARE | HMO | $1,011.00 | ↑ +2227% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Oth resp proc, group at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $57.81 | $42.90 – $85.80 |
| Cooperman Barnabas Medical Center | Livingston | $90.26 | $44.04 – $88.08 |
| Community Medical Center | Toms River | $63.87 | $42.90 – $85.37 |
| Clara Maass Medical Center | Belleville | $71.80 | $44.04 – $87.64 |
| Monmouth Medical Center | Long Branch | $67.39 | $43.44 – $326.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $43.48 | $24.81 – $342.00 |
| Palisades Medical Center | North Bergen | $46.22 | $24.81 – $444.00 |
| Raritan Bay Medical Center | Perth Amboy | $43.48 | $24.81 – $396.00 |