Synthetic sentence id test at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$43.44
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.
$107.00
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.
$17.76 with AETNA vs $502.00 with AMERIHEALTH — 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 | $17.76 | ↓ -59% |
| CLOVER | MEDICARE ADVANTAGE | $19.26 | ↓ -56% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $24.72 | ↓ -43% |
| VACCN | ALL PRODUCTS | $43.44 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $43.44 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $43.44 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $43.44 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $43.44 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $45.62 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $47.35 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $52.13 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $63.02 | ↑ +45% |
| OXFORD | ALL PRODUCTS | $72.91 | ↑ +68% |
| KARNA | MEDICARE ADVANTAGE | $73.37 | ↑ +69% |
| HORIZON | MANAGED MEDICAID | $73.82 | ↑ +70% |
| HORIZON | WORKERS COMP | $77.32 | ↑ +78% |
| BEACON | ALL PRODUCTS | $80.25 | ↑ +85% |
| BERGEN RISK | ALL PRODUCTS | $80.25 | ↑ +85% |
| HORIZON | PIP | $81.53 | ↑ +88% |
| QUALCARE | HMO | $83.14 | ↑ +91% |
| QUALCARE | PPO | $83.14 | ↑ +91% |
| AETNA | ASA | $83.78 | ↑ +93% |
| HORIZON | OMNIA | $84.89 | ↑ +95% |
| CIGNA | BH | $85.60 | ↑ +97% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $90.95 | ↑ +109% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $90.95 | ↑ +109% |
| QUALCARE | WORKERS COMP | $94.16 | ↑ +117% |
| AETNA | HMO | $96.30 | ↑ +122% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $96.30 | ↑ +122% |
| AETNA | PPO | $96.30 | ↑ +122% |
| CIGNA | HMO | $102.32 | ↑ +136% |
| CIGNA | PPO | $102.32 | ↑ +136% |
| HORIZON | SHP | $103.86 | ↑ +139% |
| HORIZON | HMO | $104.41 | ↑ +140% |
| HORIZON | INDEMNITY | $105.56 | ↑ +143% |
| HORIZON | PPO | $107.00 | ↑ +146% |
| UNITED HEALTHCARE | HMO | $328.00 | ↑ +655% |
| AMERIHEALTH | LOCAL HMO | $443.00 | ↑ +920% |
| AMERIHEALTH | REGIONAL HMO | $502.00 | ↑ +1056% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Synthetic sentence id test at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $42.38 | $44.04 – $88.08 |
| Bayshore Medical Center | Holmdel | $43.44 | $43.44 – $465.00 |
| Hackensack University Medical Center | Hackensack | $46.22 | $36.98 – $487.00 |
| Ocean University Medical Center | Brick | $42.90 | $39.25 – $499.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $43.48 | $39.25 – $627.00 |
| Palisades Medical Center | North Bergen | $46.22 | $46.22 – $994.00 |
| Raritan Bay Medical Center | Perth Amboy | $43.48 | $43.48 – $92.50 |
| Riverview Medical Center | Red Bank | $43.44 | $43.44 – $465.00 |