Release of midfoot joint at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$1,771.43
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.
$7,150.00
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.
$983.00 with HORIZON vs $19,888.00 with UNITED HEALTHCARE — 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 | $983.00 | ↓ -45% |
| AETNA | MANAGED MEDICAID | $1,186.90 | ↓ -33% |
| CLOVER | MEDICARE ADVANTAGE | $1,287.00 | ↓ -27% |
| KARNA | MEDICARE ADVANTAGE | $1,396.02 | ↓ -21% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,651.65 | ↓ -7% |
| WELLCARE | MEDICARE ADVANTAGE | $1,771.43 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,771.43 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,771.43 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,771.43 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $1,771.43 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,860.00 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,930.86 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,125.72 | ↑ +20% |
| CIGNA | HMO | $2,247.00 | ↑ +27% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↑ +34% |
| CIGNA | PPO | $2,518.00 | ↑ +42% |
| BEACON | ALL PRODUCTS | $5,362.50 | ↑ +203% |
| BERGEN RISK | ALL PRODUCTS | $5,362.50 | ↑ +203% |
| HORIZON | PIP | $5,448.30 | ↑ +208% |
| QUALCARE | PPO | $5,555.55 | ↑ +214% |
| AETNA | ASA | $5,598.45 | ↑ +216% |
| HORIZON | OMNIA | $5,672.81 | ↑ +220% |
| CIGNA | BH | $5,720.00 | ↑ +223% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $6,077.50 | ↑ +243% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,077.50 | ↑ +243% |
| AMERIHEALTH | LOCAL HMO | $6,246.24 | ↑ +253% |
| QUALCARE | HMO | $6,256.00 | ↑ +253% |
| QUALCARE | WORKERS COMP | $6,292.00 | ↑ +255% |
| HORIZON | SHP | $6,940.51 | ↑ +292% |
| HORIZON | HMO | $6,976.97 | ↑ +294% |
| HORIZON | INDEMNITY | $7,053.48 | ↑ +298% |
| AMERIHEALTH | REGIONAL HMO | $7,074.21 | ↑ +299% |
| HORIZON | PPO | $7,150.00 | ↑ +304% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +474% |
| AETNA | HMO | $10,202.00 | ↑ +476% |
| AETNA | PPO | $10,202.00 | ↑ +476% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +725% |
| OXFORD | ALL PRODUCTS | $16,418.00 | ↑ +827% |
| UNITED HEALTHCARE | HMO | $19,888.00 | ↑ +1023% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Release of midfoot joint at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $447.69 – $3,498.12 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $538.85 – $3,591.06 |
| Community Medical Center | Toms River | $3,786.00 | $551.84 – $3,480.63 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $532.36 – $3,573.10 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $460.86 – $3,591.06 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $579.36 – $3,750.63 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,064.72 – $3,525.15 |
| Bayshore Medical Center | Holmdel | $1,771.43 | $1,771.43 – $2,125.72 |