Perq tx mndblr fx xtrnl fixj 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.
$17,222.00
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.
$969.42 with KARNA vs $15,027.00 with AMERIHEALTH — 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 | $969.42 | ↓ -85% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -82% |
| HORIZON | MANAGED MEDICAID | $1,293.00 | ↓ -80% |
| AETNA | MANAGED MEDICAID | $2,858.85 | ↓ -56% |
| CLOVER | MEDICARE ADVANTAGE | $3,099.96 | ↓ -53% |
| CIGNA | HMO | $3,135.00 | ↓ -52% |
| CIGNA | PPO | $3,509.00 | ↓ -46% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,978.28 | ↓ -39% |
| QUALCARE | HMO | $6,256.00 | ↓ -4% |
| OXFORD | ALL PRODUCTS | $6,345.00 | ↓ -3% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $6,547.81 | ↑ +0% |
| VACCN | ALL PRODUCTS | $6,547.81 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $6,547.81 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $6,547.81 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $6,547.81 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $6,875.20 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $7,137.11 | ↑ +9% |
| UNITED HEALTHCARE | HMO | $7,625.00 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $7,857.37 | ↑ +20% |
| HORIZON | OMNIA | $10,075.00 | ↑ +54% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +55% |
| AETNA | HMO | $10,202.00 | ↑ +56% |
| AETNA | PPO | $10,202.00 | ↑ +56% |
| QUALCARE | PPO | $10,231.00 | ↑ +56% |
| QUALCARE | WORKERS COMP | $10,822.00 | ↑ +65% |
| HORIZON | SHP | $11,486.00 | ↑ +75% |
| HORIZON | HMO | $12,442.00 | ↑ +90% |
| HORIZON | INDEMNITY | $12,559.00 | ↑ +92% |
| HORIZON | PPO | $12,766.00 | ↑ +95% |
| BEACON | ALL PRODUCTS | $12,916.50 | ↑ +97% |
| BERGEN RISK | ALL PRODUCTS | $12,916.50 | ↑ +97% |
| HORIZON | PIP | $13,123.16 | ↑ +100% |
| AMERIHEALTH | LOCAL HMO | $13,295.00 | ↑ +103% |
| AETNA | ASA | $13,484.83 | ↑ +106% |
| CIGNA | BH | $13,777.60 | ↑ +110% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +123% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $14,638.70 | ↑ +124% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $14,638.70 | ↑ +124% |
| AMERIHEALTH | REGIONAL HMO | $15,027.00 | ↑ +129% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
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Perq tx mndblr fx xtrnl fixj at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $76.55 – $12,930.22 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $60.26 – $13,273.80 |
| Community Medical Center | Toms River | $3,786.00 | $61.71 – $12,865.57 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $59.53 – $13,207.43 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $78.80 – $13,273.80 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $65.34 – $13,863.61 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $119.06 – $13,030.14 |
| Bayshore Medical Center | Holmdel | $6,547.81 | $6,547.81 – $7,857.37 |