Oth resp proc, indiv 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.
?
What you pay up front if you don't use insurance.
$182.00
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.
$18.64 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 | $18.64 | ↓ -31% |
| WELLCARE | MEDICARE ADVANTAGE | $27.11 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $27.11 | ↑ +0% |
| VACCN | ALL PRODUCTS | $27.11 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $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 | MANAGED MEDICAID | $30.21 | ↑ +11% |
| UNITED HEALTHCARE | DSNP | $32.53 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $32.76 | ↑ +21% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $42.04 | ↑ +55% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $107.20 | ↑ +295% |
| HORIZON | MANAGED MEDICAID | $125.56 | ↑ +363% |
| HORIZON | WORKERS COMP | $131.51 | ↑ +385% |
| BEACON | ALL PRODUCTS | $136.50 | ↑ +404% |
| BERGEN RISK | ALL PRODUCTS | $136.50 | ↑ +404% |
| HORIZON | PIP | $138.68 | ↑ +412% |
| QUALCARE | PPO | $141.41 | ↑ +422% |
| QUALCARE | HMO | $141.41 | ↑ +422% |
| AETNA | ASA | $142.51 | ↑ +426% |
| HORIZON | OMNIA | $144.40 | ↑ +433% |
| CIGNA | BH | $145.60 | ↑ +437% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $154.70 | ↑ +471% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $154.70 | ↑ +471% |
| AMERIHEALTH | LOCAL HMO | $159.00 | ↑ +486% |
| QUALCARE | WORKERS COMP | $160.16 | ↑ +491% |
| AETNA | PPO | $163.80 | ↑ +504% |
| AETNA | HMO | $163.80 | ↑ +504% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $163.80 | ↑ +504% |
| CIGNA | PPO | $174.05 | ↑ +542% |
| CIGNA | HMO | $174.05 | ↑ +542% |
| HORIZON | SHP | $176.67 | ↑ +552% |
| HORIZON | HMO | $177.60 | ↑ +555% |
| HORIZON | INDEMNITY | $179.54 | ↑ +562% |
| AMERIHEALTH | REGIONAL HMO | $180.07 | ↑ +564% |
| HORIZON | PPO | $182.00 | ↑ +571% |
| OXFORD | ALL PRODUCTS | $604.00 | ↑ +2128% |
| UNITED HEALTHCARE | HMO | $1,011.00 | ↑ +3629% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Oth resp proc, indiv at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $47.46 | $27.48 – $54.96 |
| Clara Maass Medical Center | Belleville | $20.48 | $27.48 – $54.69 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $27.13 | $16.44 – $342.00 |
| Palisades Medical Center | North Bergen | $28.84 | $16.19 – $444.00 |
| Raritan Bay Medical Center | Perth Amboy | $27.13 | $19.70 – $396.00 |
| Riverview Medical Center | Red Bank | $27.11 | $18.64 – $271.00 |
| Southern Ocean Medical Center | Manahawkin | $26.76 | $18.64 – $525.00 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $16.88 | $26.76 – $53.25 |