Removal foreign body mouth at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$563.67
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.
$3,809.00
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.
$411.49 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $411.49 | ↓ -27% |
| WELLCARE | MEDICARE ADVANTAGE | $563.67 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $563.67 | ↑ +0% |
| VACCN | ALL PRODUCTS | $563.67 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $563.67 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $563.67 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $591.85 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $614.40 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $632.29 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $676.40 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $685.62 | ↑ +22% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $879.88 | ↑ +56% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +111% |
| HORIZON | MANAGED MEDICAID | $1,293.00 | ↑ +129% |
| OXFORD | ALL PRODUCTS | $2,805.00 | ↑ +398% |
| BEACON | ALL PRODUCTS | $2,856.75 | ↑ +407% |
| BERGEN RISK | ALL PRODUCTS | $2,856.75 | ↑ +407% |
| HORIZON | PIP | $2,902.46 | ↑ +415% |
| QUALCARE | PPO | $2,959.59 | ↑ +425% |
| AETNA | ASA | $2,982.45 | ↑ +429% |
| HORIZON | OMNIA | $3,022.06 | ↑ +436% |
| CIGNA | BH | $3,047.20 | ↑ +441% |
| CIGNA | HMO | $3,135.00 | ↑ +456% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,237.65 | ↑ +474% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,237.65 | ↑ +474% |
| UNITED HEALTHCARE | HMO | $3,315.00 | ↑ +488% |
| AMERIHEALTH | LOCAL HMO | $3,327.54 | ↑ +490% |
| QUALCARE | WORKERS COMP | $3,351.92 | ↑ +495% |
| CIGNA | PPO | $3,509.00 | ↑ +523% |
| HORIZON | SHP | $3,697.40 | ↑ +556% |
| HORIZON | HMO | $3,716.82 | ↑ +559% |
| HORIZON | INDEMNITY | $3,757.58 | ↑ +567% |
| AMERIHEALTH | REGIONAL HMO | $3,768.62 | ↑ +569% |
| HORIZON | PPO | $3,809.00 | ↑ +576% |
| QUALCARE | HMO | $6,256.00 | ↑ +1010% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +1703% |
| AETNA | HMO | $10,202.00 | ↑ +1710% |
| AETNA | PPO | $10,202.00 | ↑ +1710% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +2493% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Removal foreign body mouth at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $29.41 – $1,673.82 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $68.29 – $1,142.68 |
| Community Medical Center | Toms River | $3,786.00 | $69.94 – $1,107.53 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $67.47 – $1,136.97 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $30.27 – $1,142.68 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $38.06 – $1,193.44 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $134.94 – $1,121.70 |
| Bayshore Medical Center | Holmdel | $563.67 | $563.67 – $676.40 |