Perc d-e cor stent ather s at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$19,875.58
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.
$23,156.00
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.
$3,843.90 with AETNA vs $48,868.00 with OXFORD — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $3,843.90 | ↓ -81% |
| CLOVER | MEDICARE ADVANTAGE | $4,168.08 | ↓ -79% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $5,349.04 | ↓ -73% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $7,727.00 | ↓ -61% |
| HORIZON | OMNIA | $10,075.00 | ↓ -49% |
| AETNA | HMO | $10,202.00 | ↓ -49% |
| AETNA | PPO | $10,202.00 | ↓ -49% |
| HORIZON | SHP | $11,486.00 | ↓ -42% |
| HORIZON | HMO | $12,442.00 | ↓ -37% |
| HORIZON | INDEMNITY | $12,559.00 | ↓ -37% |
| HORIZON | PPO | $12,766.00 | ↓ -36% |
| BEACON | ALL PRODUCTS | $14,057.00 | ↓ -29% |
| HORIZON | WORKERS COMP | $14,615.00 | ↓ -26% |
| BERGEN RISK | ALL PRODUCTS | $15,603.00 | ↓ -21% |
| HORIZON | MANAGED MEDICAID | $15,975.32 | ↓ -20% |
| HORIZON | PIP | $17,644.87 | ↓ -11% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $17,878.00 | ↓ -10% |
| QUALCARE | PPO | $17,992.21 | ↓ -9% |
| QUALCARE | HMO | $17,992.21 | ↓ -9% |
| AETNA | ASA | $18,131.15 | ↓ -9% |
| CIGNA | BH | $18,524.80 | ↓ -7% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $19,682.60 | ↓ -1% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $19,682.60 | ↓ -1% |
| VACCN | ALL PRODUCTS | $19,875.58 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $19,875.58 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $19,875.58 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $19,875.58 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $19,875.58 | ↑ +0% |
| QUALCARE | WORKERS COMP | $20,377.28 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $20,869.35 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $21,664.38 | ↑ +9% |
| CIGNA | PPO | $22,144.08 | ↑ +11% |
| CIGNA | HMO | $22,144.08 | ↑ +11% |
| AMERIHEALTH | LOCAL HMO | $22,159.00 | ↑ +11% |
| UNITED HEALTHCARE | DSNP | $23,850.69 | ↑ +20% |
| AMERIHEALTH | REGIONAL HMO | $25,048.00 | ↑ +26% |
| UNITED HEALTHCARE | HMO | $48,324.00 | ↑ +143% |
| OXFORD | ALL PRODUCTS | $48,868.00 | ↑ +146% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Perc d-e cor stent ather s at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $19,892.81 | $17,039.00 – $19,892.81 |
| Palisades Medical Center | North Bergen | $21,146.91 | $21,146.91 – $23,050.13 |
| Raritan Bay Medical Center | Perth Amboy | $19,892.81 | $9,707.20 – $23,871.38 |
| Riverview Medical Center | Red Bank | $19,875.58 | $19,875.58 – $23,850.69 |
| Southern Ocean Medical Center | Manahawkin | $19,624.54 | $19,624.54 – $23,549.45 |
| Trinitas Regional Medical Center | Elizabeth | not published | $6,086.60 – $39,249.08 |
| Cooperman Barnabas Medical Center | Livingston | not published | $20,146.00 – $40,292.00 |
| Community Medical Center | Toms River | not published | $19,624.54 – $39,052.83 |