Partial removal of lip at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$3,589.62
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.
$6,244.00
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.
$850.78 with KARNA vs $14,615.00 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 | $850.78 | ↓ -76% |
| AETNA | MANAGED MEDICAID | $1,036.50 | ↓ -71% |
| CLOVER | MEDICARE ADVANTAGE | $1,123.92 | ↓ -69% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -67% |
| HORIZON | MANAGED MEDICAID | $1,293.00 | ↓ -64% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,442.36 | ↓ -60% |
| CIGNA | HMO | $3,135.00 | ↓ -13% |
| CIGNA | PPO | $3,509.00 | ↓ -2% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,589.62 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $3,589.62 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,589.62 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,589.62 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,589.62 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,769.11 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,912.69 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4,307.55 | ↑ +20% |
| BEACON | ALL PRODUCTS | $4,683.00 | ↑ +30% |
| BERGEN RISK | ALL PRODUCTS | $4,683.00 | ↑ +30% |
| HORIZON | PIP | $4,757.93 | ↑ +33% |
| QUALCARE | PPO | $4,851.59 | ↑ +35% |
| AETNA | ASA | $4,889.05 | ↑ +36% |
| HORIZON | OMNIA | $4,953.99 | ↑ +38% |
| CIGNA | BH | $4,995.20 | ↑ +39% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,307.40 | ↑ +48% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $5,307.40 | ↑ +48% |
| AMERIHEALTH | LOCAL HMO | $5,454.76 | ↑ +52% |
| QUALCARE | WORKERS COMP | $5,494.72 | ↑ +53% |
| HORIZON | SHP | $6,061.05 | ↑ +69% |
| HORIZON | HMO | $6,092.90 | ↑ +70% |
| HORIZON | INDEMNITY | $6,159.71 | ↑ +72% |
| AMERIHEALTH | REGIONAL HMO | $6,177.81 | ↑ +72% |
| HORIZON | PPO | $6,244.00 | ↑ +74% |
| QUALCARE | HMO | $6,256.00 | ↑ +74% |
| OXFORD | ALL PRODUCTS | $8,522.00 | ↑ +137% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +183% |
| AETNA | PPO | $10,202.00 | ↑ +184% |
| AETNA | HMO | $10,202.00 | ↑ +184% |
| UNITED HEALTHCARE | HMO | $10,276.00 | ↑ +186% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +307% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Partial removal of lip at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $289.51 – $7,088.58 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $303.30 – $7,276.94 |
| Community Medical Center | Toms River | $3,786.00 | $310.61 – $7,053.14 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $299.64 – $7,240.56 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $298.02 – $7,276.94 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $328.88 – $7,600.27 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $599.29 – $7,143.34 |
| Bayshore Medical Center | Holmdel | $3,589.62 | $3,589.62 – $4,307.55 |