Tilt table study at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$587.30
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.
$2,893.00
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.
$272.22 with KARNA vs $2,893.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $272.22 | ↓ -54% |
| AETNA | MANAGED MEDICAID | $480.24 | ↓ -18% |
| CLOVER | MEDICARE ADVANTAGE | $520.74 | ↓ -11% |
| VACCN | ALL PRODUCTS | $587.30 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $587.30 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $587.30 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $587.30 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $587.30 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $616.66 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $640.16 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $668.28 | ↑ +14% |
| UNITED HEALTHCARE | DSNP | $704.76 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,703.98 | ↑ +190% |
| OXFORD | ALL PRODUCTS | $1,971.29 | ↑ +236% |
| HORIZON | MANAGED MEDICAID | $1,995.88 | ↑ +240% |
| HORIZON | WORKERS COMP | $2,090.48 | ↑ +256% |
| BEACON | ALL PRODUCTS | $2,169.75 | ↑ +269% |
| BERGEN RISK | ALL PRODUCTS | $2,169.75 | ↑ +269% |
| HORIZON | PIP | $2,204.47 | ↑ +275% |
| QUALCARE | HMO | $2,247.86 | ↑ +283% |
| QUALCARE | PPO | $2,247.86 | ↑ +283% |
| AETNA | ASA | $2,265.22 | ↑ +286% |
| HORIZON | OMNIA | $2,295.31 | ↑ +291% |
| CIGNA | BH | $2,314.40 | ↑ +294% |
| UNITED HEALTHCARE | HMO | $2,458.18 | ↑ +319% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,459.05 | ↑ +319% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,459.05 | ↑ +319% |
| AMERIHEALTH | LOCAL HMO | $2,527.32 | ↑ +330% |
| QUALCARE | WORKERS COMP | $2,545.84 | ↑ +333% |
| AETNA | PPO | $2,603.70 | ↑ +343% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,603.70 | ↑ +343% |
| AETNA | HMO | $2,603.70 | ↑ +343% |
| CIGNA | HMO | $2,766.58 | ↑ +371% |
| CIGNA | PPO | $2,766.58 | ↑ +371% |
| HORIZON | SHP | $2,808.24 | ↑ +378% |
| HORIZON | HMO | $2,822.99 | ↑ +381% |
| HORIZON | INDEMNITY | $2,853.94 | ↑ +386% |
| AMERIHEALTH | REGIONAL HMO | $2,862.33 | ↑ +387% |
| HORIZON | PPO | $2,893.00 | ↑ +393% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Tilt table study at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $801.29 | $83.30 – $1,159.76 |
| Cooperman Barnabas Medical Center | Livingston | $786.99 | $395.00 – $1,190.58 |
| Community Medical Center | Toms River | $885.39 | $395.00 – $1,153.96 |
| Clara Maass Medical Center | Belleville | $672.48 | $345.00 – $1,184.63 |
| Newark Beth Israel Medical Center | Newark | $773.62 | $85.75 – $1,190.58 |
| Jersey City Medical Center | Jersey City | $887.09 | $107.80 – $1,243.49 |
| Monmouth Medical Center | Long Branch | $934.05 | $395.00 – $1,168.73 |
| Bayshore Medical Center | Holmdel | $587.30 | $587.30 – $704.76 |