Renal cyst study s&i at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$606.89
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.
$1,118.00
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.
$93.88 with UNITED HEALTHCARE vs $1,118.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $93.88 | ↓ -85% |
| AETNA | MANAGED MEDICAID | $185.59 | ↓ -69% |
| CLOVER | MEDICARE ADVANTAGE | $201.24 | ↓ -67% |
| KARNA | MEDICARE ADVANTAGE | $225.33 | ↓ -63% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $258.26 | ↓ -57% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $606.89 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $606.89 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $606.89 | ↑ +0% |
| VACCN | ALL PRODUCTS | $606.89 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $606.89 | ↑ +0% |
| OXFORD | ALL PRODUCTS | $631.67 | ↑ +4% |
| UNITED HEALTHCARE | HMO | $631.67 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $637.24 | ↑ +5% |
| QUALCARE | HMO | $649.56 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $661.51 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $728.27 | ↑ +20% |
| HORIZON | WORKERS COMP | $807.87 | ↑ +33% |
| BERGEN RISK | ALL PRODUCTS | $838.50 | ↑ +38% |
| BEACON | ALL PRODUCTS | $838.50 | ↑ +38% |
| HORIZON | PIP | $851.92 | ↑ +40% |
| QUALCARE | PPO | $868.69 | ↑ +43% |
| AETNA | ASA | $875.39 | ↑ +44% |
| HORIZON | OMNIA | $887.02 | ↑ +46% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $894.40 | ↑ +47% |
| CIGNA | BH | $894.40 | ↑ +47% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $950.30 | ↑ +57% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $950.30 | ↑ +57% |
| AMERIHEALTH | LOCAL HMO | $976.68 | ↑ +61% |
| QUALCARE | WORKERS COMP | $983.84 | ↑ +62% |
| AETNA | HMO | $1,006.20 | ↑ +66% |
| AETNA | PPO | $1,006.20 | ↑ +66% |
| CIGNA | HMO | $1,069.14 | ↑ +76% |
| CIGNA | PPO | $1,069.14 | ↑ +76% |
| HORIZON | SHP | $1,085.24 | ↑ +79% |
| HORIZON | HMO | $1,090.94 | ↑ +80% |
| HORIZON | INDEMNITY | $1,102.91 | ↑ +82% |
| AMERIHEALTH | REGIONAL HMO | $1,106.15 | ↑ +82% |
| HORIZON | PPO | $1,118.00 | ↑ +84% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Renal cyst study s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $328.47 | $20.40 – $1,198.46 |
| Community Medical Center | Toms River | $362.95 | $45.92 – $1,192.47 |
| Bayshore Medical Center | Holmdel | $606.89 | $93.88 – $1,307.42 |
| Hackensack University Medical Center | Hackensack | $645.71 | $41.63 – $1,493.34 |
| Ocean University Medical Center | Brick | $599.23 | $93.88 – $599.23 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $607.42 | $230.09 – $1,384.69 |
| Palisades Medical Center | North Bergen | $645.71 | $45.92 – $1,307.42 |
| Raritan Bay Medical Center | Perth Amboy | $607.42 | $63.00 – $1,307.42 |