Rem interrog evl pm/ids at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$41.27
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.
$308.00
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.
$36.68 with KARNA vs $308.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $36.68 | ↓ -11% |
| WELLCARE | MEDICARE ADVANTAGE | $41.27 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $41.27 | ↑ +0% |
| VACCN | ALL PRODUCTS | $41.27 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $41.27 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $41.27 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $43.34 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $44.99 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $49.53 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $51.13 | ↑ +24% |
| CLOVER | MEDICARE ADVANTAGE | $55.44 | ↑ +34% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $71.15 | ↑ +72% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $181.41 | ↑ +340% |
| OXFORD | ALL PRODUCTS | $209.87 | ↑ +409% |
| HORIZON | MANAGED MEDICAID | $212.49 | ↑ +415% |
| HORIZON | WORKERS COMP | $222.56 | ↑ +439% |
| BERGEN RISK | ALL PRODUCTS | $231.00 | ↑ +460% |
| BEACON | ALL PRODUCTS | $231.00 | ↑ +460% |
| HORIZON | PIP | $234.70 | ↑ +469% |
| QUALCARE | PPO | $239.32 | ↑ +480% |
| QUALCARE | HMO | $239.32 | ↑ +480% |
| AETNA | ASA | $241.16 | ↑ +484% |
| HORIZON | OMNIA | $244.37 | ↑ +492% |
| CIGNA | BH | $246.40 | ↑ +497% |
| UNITED HEALTHCARE | HMO | $261.71 | ↑ +534% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $261.80 | ↑ +534% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $261.80 | ↑ +534% |
| AMERIHEALTH | LOCAL HMO | $269.07 | ↑ +552% |
| QUALCARE | WORKERS COMP | $271.04 | ↑ +557% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $277.20 | ↑ +572% |
| AETNA | HMO | $277.20 | ↑ +572% |
| AETNA | PPO | $277.20 | ↑ +572% |
| CIGNA | HMO | $294.54 | ↑ +614% |
| CIGNA | PPO | $294.54 | ↑ +614% |
| HORIZON | SHP | $298.98 | ↑ +624% |
| HORIZON | HMO | $300.55 | ↑ +628% |
| HORIZON | INDEMNITY | $303.84 | ↑ +636% |
| AMERIHEALTH | REGIONAL HMO | $304.74 | ↑ +638% |
| HORIZON | PPO | $308.00 | ↑ +646% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Rem interrog evl pm/ids at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $38.16 | $29.82 – $81.09 |
| Newark Beth Israel Medical Center | Newark | $42.28 | $11.56 – $83.68 |
| Bayshore Medical Center | Holmdel | $41.27 | $41.27 – $49.53 |
| Hackensack University Medical Center | Hackensack | $43.91 | $35.13 – $2,033.00 |
| Ocean University Medical Center | Brick | $40.75 | $36.68 – $48.90 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $41.31 | $35.08 – $1,042.00 |
| Palisades Medical Center | North Bergen | $43.91 | $34.55 – $77.00 |
| Raritan Bay Medical Center | Perth Amboy | $41.31 | $38.81 – $49.57 |