Repair pm/icd lead dual at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$4,028.20
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.
$11,056.00
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.
$775.43 with KARNA vs $15,262.00 with QUALCARE — 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 | $775.43 | ↓ -81% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -70% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↓ -55% |
| AETNA | MANAGED MEDICAID | $1,835.30 | ↓ -54% |
| CLOVER | MEDICARE ADVANTAGE | $1,990.08 | ↓ -51% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,553.94 | ↓ -37% |
| WELLCARE | MANAGED MEDICAID | $4,028.20 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4,028.20 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $4,028.20 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,028.20 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $4,028.20 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,229.61 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4,390.73 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4,833.83 | ↑ +20% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $7,075.84 | ↑ +76% |
| BEACON | ALL PRODUCTS | $8,292.00 | ↑ +106% |
| BERGEN RISK | ALL PRODUCTS | $8,292.00 | ↑ +106% |
| HORIZON | PIP | $8,424.67 | ↑ +109% |
| AETNA | ASA | $8,656.85 | ↑ +115% |
| HORIZON | OMNIA | $8,771.83 | ↑ +118% |
| CIGNA | BH | $8,844.80 | ↑ +120% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $9,397.60 | ↑ +133% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $9,397.60 | ↑ +133% |
| AMERIHEALTH | LOCAL HMO | $9,658.52 | ↑ +140% |
| QUALCARE | WORKERS COMP | $9,729.28 | ↑ +142% |
| CIGNA | PPO | $9,938.24 | ↑ +147% |
| CIGNA | HMO | $9,938.24 | ↑ +147% |
| AETNA | HMO | $10,202.00 | ↑ +153% |
| AETNA | PPO | $10,202.00 | ↑ +153% |
| HORIZON | SHP | $10,732.06 | ↑ +166% |
| HORIZON | HMO | $10,788.44 | ↑ +168% |
| HORIZON | INDEMNITY | $10,906.74 | ↑ +171% |
| AMERIHEALTH | REGIONAL HMO | $10,938.81 | ↑ +172% |
| HORIZON | PPO | $11,056.00 | ↑ +174% |
| OXFORD | ALL PRODUCTS | $11,680.00 | ↑ +190% |
| UNITED HEALTHCARE | HMO | $14,121.00 | ↑ +251% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +263% |
| QUALCARE | PPO | $14,649.00 | ↑ +264% |
| QUALCARE | HMO | $15,262.00 | ↑ +279% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Repair pm/icd lead dual at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $190.78 – $7,954.64 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $340.30 – $8,166.00 |
| Community Medical Center | Toms River | $3,786.00 | $348.50 – $7,914.87 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $336.20 – $8,125.17 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $196.39 – $8,166.00 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $246.89 – $8,528.86 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $672.40 – $8,016.12 |
| Bayshore Medical Center | Holmdel | $4,028.20 | $4,028.20 – $4,833.83 |