Ther nma rdctj intus/obstrcj at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$197.04
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.
$656.00
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.
$108.90 with AETNA vs $656.00 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 | $108.90 | ↓ -45% |
| CLOVER | MEDICARE ADVANTAGE | $118.08 | ↓ -40% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $151.54 | ↓ -23% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $192.07 | ↓ -3% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $197.04 | ↑ +0% |
| VACCN | ALL PRODUCTS | $197.04 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $206.90 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $214.78 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $236.45 | ↑ +20% |
| AETNA | PPO | $307.46 | ↑ +56% |
| AETNA | HMO | $307.46 | ↑ +56% |
| UNITED HEALTHCARE | HMO | $370.64 | ↑ +88% |
| OXFORD | ALL PRODUCTS | $370.64 | ↑ +88% |
| QUALCARE | HMO | $381.14 | ↑ +93% |
| AMERIHEALTH | LOCAL HMO | $412.45 | ↑ +109% |
| AMERIHEALTH | REGIONAL HMO | $419.58 | ↑ +113% |
| KARNA | MEDICARE ADVANTAGE | $466.35 | ↑ +137% |
| HORIZON | WORKERS COMP | $474.03 | ↑ +141% |
| BEACON | ALL PRODUCTS | $492.00 | ↑ +150% |
| BERGEN RISK | ALL PRODUCTS | $492.00 | ↑ +150% |
| HORIZON | PIP | $499.87 | ↑ +154% |
| QUALCARE | PPO | $509.71 | ↑ +159% |
| AETNA | ASA | $513.65 | ↑ +161% |
| HORIZON | OMNIA | $520.47 | ↑ +164% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $524.80 | ↑ +166% |
| CIGNA | BH | $524.80 | ↑ +166% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $557.60 | ↑ +183% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $557.60 | ↑ +183% |
| QUALCARE | WORKERS COMP | $577.28 | ↑ +193% |
| CIGNA | PPO | $590.06 | ↑ +199% |
| CIGNA | HMO | $590.06 | ↑ +199% |
| HORIZON | SHP | $636.78 | ↑ +223% |
| HORIZON | HMO | $640.12 | ↑ +225% |
| HORIZON | INDEMNITY | $647.14 | ↑ +228% |
| HORIZON | PPO | $656.00 | ↑ +233% |
| 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
Ther nma rdctj intus/obstrcj at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $279.78 | $57.40 – $814.40 |
| Monmouth Medical Center | Long Branch | $295.16 | $57.40 – $814.40 |
| Bayshore Medical Center | Holmdel | $197.04 | $192.07 – $590.06 |
| Hackensack University Medical Center | Hackensack | $209.65 | $52.03 – $578.23 |
| Ocean University Medical Center | Brick | $194.55 | $178.02 – $590.06 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $197.21 | $178.02 – $606.01 |
| Palisades Medical Center | North Bergen | $209.65 | $57.40 – $590.06 |
| Raritan Bay Medical Center | Perth Amboy | $197.21 | $78.75 – $590.06 |