Slp stdy unatnd w/anal at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$65.75
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.
$241.00
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.
$40.01 with AETNA 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $40.01 | ↓ -39% |
| CLOVER | MEDICARE ADVANTAGE | $43.38 | ↓ -34% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $55.67 | ↓ -15% |
| WELLCARE | MANAGED MEDICAID | $65.75 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $65.75 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $65.75 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $65.75 | ↑ +0% |
| VACCN | ALL PRODUCTS | $65.75 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $69.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $71.66 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $78.90 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $141.95 | ↑ +116% |
| OXFORD | ALL PRODUCTS | $164.22 | ↑ +150% |
| KARNA | MEDICARE ADVANTAGE | $164.51 | ↑ +150% |
| AETNA | PPO | $175.38 | ↑ +167% |
| AETNA | HMO | $175.38 | ↑ +167% |
| BERGEN RISK | ALL PRODUCTS | $180.75 | ↑ +175% |
| BEACON | ALL PRODUCTS | $180.75 | ↑ +175% |
| HORIZON | PIP | $183.64 | ↑ +179% |
| QUALCARE | PPO | $187.26 | ↑ +185% |
| AETNA | ASA | $188.70 | ↑ +187% |
| HORIZON | OMNIA | $191.21 | ↑ +191% |
| CIGNA | BH | $192.80 | ↑ +193% |
| UNITED HEALTHCARE | HMO | $204.78 | ↑ +211% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $204.85 | ↑ +212% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $204.85 | ↑ +212% |
| AMERIHEALTH | LOCAL HMO | $210.54 | ↑ +220% |
| QUALCARE | WORKERS COMP | $212.08 | ↑ +223% |
| CIGNA | HMO | $230.47 | ↑ +251% |
| CIGNA | PPO | $230.47 | ↑ +251% |
| HORIZON | SHP | $233.94 | ↑ +256% |
| HORIZON | HMO | $235.17 | ↑ +258% |
| HORIZON | INDEMNITY | $237.75 | ↑ +262% |
| AMERIHEALTH | REGIONAL HMO | $238.45 | ↑ +263% |
| HORIZON | PPO | $241.00 | ↑ +267% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↑ +2679% |
| QUALCARE | HMO | $6,256.00 | ↑ +9415% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +15357% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +22128% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Slp stdy unatnd w/anal at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $65.75 | $65.75 – $78.90 |
| Hackensack University Medical Center | Hackensack | $69.95 | $55.96 – $172.30 |
| Ocean University Medical Center | Brick | $64.92 | $59.40 – $164.51 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $65.80 | $59.40 – $172.30 |
| Palisades Medical Center | North Bergen | $69.95 | $69.95 – $172.30 |
| Raritan Bay Medical Center | Perth Amboy | $65.80 | $65.80 – $172.30 |
| Riverview Medical Center | Red Bank | $65.75 | $65.75 – $164.51 |
| Southern Ocean Medical Center | Manahawkin | $64.92 | $64.92 – $164.51 |