Rmvl pm gen w/rplc pm gen mlt lead sys at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$21,109.10
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.
?
What you pay up front if you don't use insurance.
$25,178.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$758.15 with KARNA vs $59,906.00 with OXFORD — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $758.15 | ↓ -96% |
| AETNA | MANAGED MEDICAID | $4,179.55 | ↓ -80% |
| CLOVER | MEDICARE ADVANTAGE | $4,532.04 | ↓ -79% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $5,816.12 | ↓ -72% |
| QUALCARE | PPO | $14,649.00 | ↓ -31% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $14,829.84 | ↓ -30% |
| QUALCARE | HMO | $15,262.00 | ↓ -28% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $16,113.92 | ↓ -24% |
| HORIZON | MANAGED MEDICAID | $17,370.30 | ↓ -18% |
| HORIZON | WORKERS COMP | $18,193.62 | ↓ -14% |
| BEACON | ALL PRODUCTS | $18,883.50 | ↓ -11% |
| BERGEN RISK | ALL PRODUCTS | $18,883.50 | ↓ -11% |
| HORIZON | PIP | $19,185.64 | ↓ -9% |
| AETNA | ASA | $19,714.37 | ↓ -7% |
| HORIZON | OMNIA | $19,976.23 | ↓ -5% |
| CIGNA | BH | $20,142.40 | ↓ -5% |
| VACCN | ALL PRODUCTS | $21,109.10 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $21,109.10 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $21,109.10 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $21,109.10 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $21,109.10 | ↑ +0% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $21,401.30 | ↑ +1% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $21,401.30 | ↑ +1% |
| AMERIHEALTH | LOCAL HMO | $21,995.50 | ↑ +4% |
| QUALCARE | WORKERS COMP | $22,156.64 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $22,164.56 | ↑ +5% |
| AETNA | HMO | $22,660.20 | ↑ +7% |
| AETNA | PPO | $22,660.20 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $23,008.92 | ↑ +9% |
| CIGNA | PPO | $24,077.72 | ↑ +14% |
| CIGNA | HMO | $24,077.72 | ↑ +14% |
| HORIZON | SHP | $24,440.28 | ↑ +16% |
| HORIZON | HMO | $24,568.69 | ↑ +16% |
| HORIZON | INDEMNITY | $24,838.10 | ↑ +18% |
| AMERIHEALTH | REGIONAL HMO | $24,911.11 | ↑ +18% |
| HORIZON | PPO | $25,178.00 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $25,330.93 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $59,272.00 | ↑ +181% |
| OXFORD | ALL PRODUCTS | $59,906.00 | ↑ +184% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Rmvl pm gen w/rplc pm gen mlt lead sys at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $186.54 – $41,684.98 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $260.59 – $42,792.64 |
| Community Medical Center | Toms River | $3,786.00 | $266.87 – $41,476.56 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $257.45 – $42,578.68 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $192.02 – $42,792.64 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $241.40 – $44,694.09 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $514.89 – $42,007.11 |
| Bayshore Medical Center | Holmdel | $21,109.10 | $21,109.10 – $25,330.93 |