Prp i/hern init block >5 yr at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$3,906.18
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.
$8,624.00
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.
$1,189.00 with UNITED HEALTHCARE 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -70% |
| KARNA | MEDICARE ADVANTAGE | $1,224.35 | ↓ -69% |
| AETNA | MANAGED MEDICAID | $1,431.58 | ↓ -63% |
| CLOVER | MEDICARE ADVANTAGE | $1,552.32 | ↓ -60% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↓ -53% |
| AETNA | MEDICARE ADVANTAGE | $1,828.29 | ↓ -53% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,992.14 | ↓ -49% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,000.77 | ↓ -49% |
| WELLCARE | MEDICARE ADVANTAGE | $3,906.18 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $3,906.18 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,906.18 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,906.18 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,101.48 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $4,687.41 | ↑ +20% |
| QUALCARE | HMO | $6,256.00 | ↑ +60% |
| BEACON | ALL PRODUCTS | $6,468.00 | ↑ +66% |
| BERGEN RISK | ALL PRODUCTS | $6,468.00 | ↑ +66% |
| HORIZON | PIP | $6,571.49 | ↑ +68% |
| QUALCARE | PPO | $6,700.85 | ↑ +72% |
| AETNA | ASA | $6,752.59 | ↑ +73% |
| HORIZON | OMNIA | $6,842.28 | ↑ +75% |
| CIGNA | BH | $6,899.20 | ↑ +77% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,330.40 | ↑ +88% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $7,330.40 | ↑ +88% |
| AMERIHEALTH | LOCAL HMO | $7,533.93 | ↑ +93% |
| QUALCARE | WORKERS COMP | $7,589.12 | ↑ +94% |
| CIGNA | PPO | $7,752.11 | ↑ +98% |
| CIGNA | HMO | $7,752.11 | ↑ +98% |
| HORIZON | SHP | $8,371.32 | ↑ +114% |
| HORIZON | HMO | $8,415.30 | ↑ +115% |
| HORIZON | INDEMNITY | $8,507.58 | ↑ +118% |
| AMERIHEALTH | REGIONAL HMO | $8,532.59 | ↑ +118% |
| HORIZON | PPO | $8,624.00 | ↑ +121% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +160% |
| AETNA | PPO | $10,202.00 | ↑ +161% |
| AETNA | HMO | $10,202.00 | ↑ +161% |
| OXFORD | ALL PRODUCTS | $11,680.00 | ↑ +199% |
| UNITED HEALTHCARE | HMO | $14,121.00 | ↑ +262% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +274% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Prp i/hern init block >5 yr at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $301.23 – $7,713.68 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $426.62 – $7,918.64 |
| Community Medical Center | Toms River | $3,786.00 | $436.90 – $7,675.11 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $421.48 – $7,879.05 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $310.09 – $7,918.64 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $389.82 – $8,270.50 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $842.96 – $7,773.30 |
| Bayshore Medical Center | Holmdel | $3,906.18 | $3,906.18 – $4,687.41 |