Ph1 assmt&mgmt nqhp 21-30 at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$43.07
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.
$118.00
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.
$19.59 with AETNA vs $118.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $19.59 | ↓ -55% |
| CLOVER | MEDICARE ADVANTAGE | $21.24 | ↓ -51% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $27.26 | ↓ -37% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $27.38 | ↓ -36% |
| OPTUM HEALTH | MANAGED MEDICAID | $34.46 | ↓ -20% |
| WELLCARE | MANAGED MEDICAID | $43.07 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $43.07 | ↑ +0% |
| VACCN | ALL PRODUCTS | $43.07 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $43.07 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $43.07 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $45.22 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $46.95 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $50.22 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $51.68 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $69.50 | ↑ +61% |
| OXFORD | ALL PRODUCTS | $80.41 | ↑ +87% |
| HORIZON | MANAGED MEDICAID | $81.41 | ↑ +89% |
| HORIZON | WORKERS COMP | $85.27 | ↑ +98% |
| BEACON | ALL PRODUCTS | $88.50 | ↑ +105% |
| BERGEN RISK | ALL PRODUCTS | $88.50 | ↑ +105% |
| HORIZON | PIP | $89.92 | ↑ +109% |
| QUALCARE | PPO | $91.69 | ↑ +113% |
| QUALCARE | HMO | $91.69 | ↑ +113% |
| AETNA | ASA | $92.39 | ↑ +115% |
| HORIZON | OMNIA | $93.62 | ↑ +117% |
| CIGNA | BH | $94.40 | ↑ +119% |
| UNITED HEALTHCARE | HMO | $100.26 | ↑ +133% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $100.30 | ↑ +133% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $100.30 | ↑ +133% |
| AMERIHEALTH | LOCAL HMO | $103.08 | ↑ +139% |
| QUALCARE | WORKERS COMP | $103.84 | ↑ +141% |
| AETNA | HMO | $106.20 | ↑ +147% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $106.20 | ↑ +147% |
| AETNA | PPO | $106.20 | ↑ +147% |
| CIGNA | HMO | $112.84 | ↑ +162% |
| CIGNA | PPO | $112.84 | ↑ +162% |
| HORIZON | SHP | $114.54 | ↑ +166% |
| HORIZON | HMO | $115.14 | ↑ +167% |
| HORIZON | INDEMNITY | $116.41 | ↑ +170% |
| AMERIHEALTH | REGIONAL HMO | $116.75 | ↑ +171% |
| HORIZON | PPO | $118.00 | ↑ +174% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ph1 assmt&mgmt nqhp 21-30 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $43.07 | $43.07 – $51.68 |
| Hackensack University Medical Center | Hackensack | $43.07 | $34.46 – $51.55 |
| Ocean University Medical Center | Brick | $43.07 | $43.07 – $51.68 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $43.07 | $43.07 – $51.55 |
| Palisades Medical Center | North Bergen | $43.07 | $43.07 – $51.55 |
| Raritan Bay Medical Center | Perth Amboy | $43.07 | $43.07 – $51.68 |
| Riverview Medical Center | Red Bank | $43.07 | $43.07 – $51.68 |
| Southern Ocean Medical Center | Manahawkin | $43.07 | $43.07 – $51.68 |