Pt re-evaluation patient/family at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$86.04
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.
$325.00
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.
$53.95 with AETNA vs $561.00 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 | $53.95 | ↓ -37% |
| CLOVER | MEDICARE ADVANTAGE | $58.50 | ↓ -32% |
| HORIZON | MANAGED MEDICAID | $60.00 | ↓ -30% |
| OPTUM HEALTH | MANAGED MEDICAID | $68.83 | ↓ -20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $75.08 | ↓ -13% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $75.40 | ↓ -12% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $80.00 | ↓ -7% |
| VACCN | ALL PRODUCTS | $86.04 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $86.04 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $86.04 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $90.34 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $93.78 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $103.25 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $115.67 | ↑ +34% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $191.43 | ↑ +122% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +160% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +160% |
| HORIZON | WORKERS COMP | $234.85 | ↑ +173% |
| AETNA | PPO | $238.88 | ↑ +178% |
| AETNA | HMO | $238.88 | ↑ +178% |
| HORIZON | PIP | $247.65 | ↑ +188% |
| QUALCARE | PPO | $252.53 | ↑ +194% |
| AETNA | ASA | $254.48 | ↑ +196% |
| HORIZON | OMNIA | $257.86 | ↑ +200% |
| CIGNA | BH | $260.00 | ↑ +202% |
| BEACON | ALL PRODUCTS | $262.00 | ↑ +205% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $276.25 | ↑ +221% |
| QUALCARE | WORKERS COMP | $278.00 | ↑ +223% |
| AMERIHEALTH | LOCAL HMO | $283.92 | ↑ +230% |
| BERGEN RISK | ALL PRODUCTS | $291.00 | ↑ +238% |
| QUALCARE | HMO | $306.00 | ↑ +256% |
| CIGNA | HMO | $310.80 | ↑ +261% |
| CIGNA | PPO | $310.80 | ↑ +261% |
| HORIZON | SHP | $315.48 | ↑ +267% |
| HORIZON | HMO | $317.14 | ↑ +269% |
| HORIZON | INDEMNITY | $320.61 | ↑ +273% |
| AMERIHEALTH | REGIONAL HMO | $321.56 | ↑ +274% |
| HORIZON | PPO | $325.00 | ↑ +278% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $355.00 | ↑ +313% |
| UNITED HEALTHCARE | HMO | $367.00 | ↑ +327% |
| OXFORD | ALL PRODUCTS | $561.00 | ↑ +552% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Pt re-evaluation patient/family at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Saint Barnabas Behavioral Health Center | Toms River | $76.26 | not published |
| Childrens Specialized Hospital | Mountainside | $283.50 | $237.00 – $394.00 |
| Bayshore Medical Center | Holmdel | $86.04 | $86.04 – $447.00 |
| Hackensack University Medical Center | Hackensack | $86.04 | $54.05 – $406.00 |
| Ocean University Medical Center | Brick | $86.04 | $60.00 – $500.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $86.04 | $60.00 – $523.00 |
| Palisades Medical Center | North Bergen | $86.04 | $86.04 – $558.00 |
| Raritan Bay Medical Center | Perth Amboy | $86.04 | $86.04 – $471.00 |