Pt evaluation high complexity patient/family at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$126.19
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.
$660.00
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.
$60.00 with HORIZON vs $660.00 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $60.00 | ↓ -52% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $80.00 | ↓ -37% |
| OPTUM HEALTH | MANAGED MEDICAID | $100.95 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $109.56 | ↓ -13% |
| CLOVER | MEDICARE ADVANTAGE | $118.80 | ↓ -6% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $126.19 | ↑ +0% |
| VACCN | ALL PRODUCTS | $126.19 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $126.19 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $132.50 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $137.55 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $151.43 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $152.46 | ↑ +21% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $153.12 | ↑ +21% |
| KARNA | MEDICARE ADVANTAGE | $166.07 | ↑ +32% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +78% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +78% |
| QUALCARE | WORKERS COMP | $278.00 | ↑ +120% |
| QUALCARE | HMO | $306.00 | ↑ +142% |
| BEACON | ALL PRODUCTS | $314.00 | ↑ +149% |
| BERGEN RISK | ALL PRODUCTS | $349.00 | ↑ +177% |
| UNITED HEALTHCARE | HMO | $367.00 | ↑ +191% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $388.74 | ↑ +208% |
| HORIZON | WORKERS COMP | $476.92 | ↑ +278% |
| AETNA | HMO | $485.10 | ↑ +284% |
| AETNA | PPO | $485.10 | ↑ +284% |
| HORIZON | PIP | $502.92 | ↑ +299% |
| QUALCARE | PPO | $512.82 | ↑ +306% |
| AETNA | ASA | $516.78 | ↑ +310% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $517.00 | ↑ +310% |
| HORIZON | OMNIA | $523.64 | ↑ +315% |
| CIGNA | BH | $528.00 | ↑ +318% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $561.00 | ↑ +345% |
| OXFORD | ALL PRODUCTS | $561.00 | ↑ +345% |
| AMERIHEALTH | LOCAL HMO | $576.58 | ↑ +357% |
| CIGNA | HMO | $631.16 | ↑ +400% |
| CIGNA | PPO | $631.16 | ↑ +400% |
| HORIZON | SHP | $640.66 | ↑ +408% |
| HORIZON | HMO | $644.03 | ↑ +410% |
| HORIZON | INDEMNITY | $651.09 | ↑ +416% |
| AMERIHEALTH | REGIONAL HMO | $653.00 | ↑ +417% |
| HORIZON | PPO | $660.00 | ↑ +423% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Pt evaluation high complexity patient/family at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $244.40 | $88.60 – $88.60 |
| Saint Barnabas Behavioral Health Center | Toms River | $76.26 | not published |
| Childrens Specialized Hospital | Mountainside | $354.50 | $237.00 – $394.00 |
| Bayshore Medical Center | Holmdel | $126.19 | $126.19 – $517.00 |
| Hackensack University Medical Center | Hackensack | $126.19 | $54.05 – $406.00 |
| Ocean University Medical Center | Brick | $126.19 | $60.00 – $517.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $126.19 | $60.00 – $523.00 |
| Palisades Medical Center | North Bergen | $126.19 | $118.00 – $558.00 |