Tvh >250 gms 58290 at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$8,185.02
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.
$13,468.00
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.
$1,827.00 with HORIZON vs $19,888.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↓ -78% |
| AETNA | MANAGED MEDICAID | $2,235.69 | ↓ -73% |
| KARNA | MEDICARE ADVANTAGE | $2,378.56 | ↓ -71% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -71% |
| CLOVER | MEDICARE ADVANTAGE | $2,424.24 | ↓ -70% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,111.11 | ↓ -62% |
| QUALCARE | HMO | $6,256.00 | ↓ -24% |
| WELLCARE | MEDICARE ADVANTAGE | $8,185.02 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $8,185.02 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $8,185.02 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $8,185.02 | ↑ +0% |
| VACCN | ALL PRODUCTS | $8,185.02 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $8,594.27 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $8,921.67 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $9,822.02 | ↑ +20% |
| HORIZON | OMNIA | $10,075.00 | ↑ +23% |
| BERGEN RISK | ALL PRODUCTS | $10,101.00 | ↑ +23% |
| BEACON | ALL PRODUCTS | $10,101.00 | ↑ +23% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +24% |
| AETNA | PPO | $10,202.00 | ↑ +25% |
| AETNA | HMO | $10,202.00 | ↑ +25% |
| QUALCARE | PPO | $10,231.00 | ↑ +25% |
| HORIZON | PIP | $10,262.62 | ↑ +25% |
| AETNA | ASA | $10,545.44 | ↑ +29% |
| CIGNA | BH | $10,774.40 | ↑ +32% |
| QUALCARE | WORKERS COMP | $10,822.00 | ↑ +32% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $11,447.80 | ↑ +40% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $11,447.80 | ↑ +40% |
| HORIZON | SHP | $11,486.00 | ↑ +40% |
| AMERIHEALTH | LOCAL HMO | $11,765.64 | ↑ +44% |
| CIGNA | PPO | $12,106.39 | ↑ +48% |
| CIGNA | HMO | $12,106.39 | ↑ +48% |
| HORIZON | HMO | $12,442.00 | ↑ +52% |
| HORIZON | INDEMNITY | $12,559.00 | ↑ +53% |
| HORIZON | PPO | $12,766.00 | ↑ +56% |
| AMERIHEALTH | REGIONAL HMO | $13,325.24 | ↑ +63% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +79% |
| OXFORD | ALL PRODUCTS | $16,418.00 | ↑ +101% |
| UNITED HEALTHCARE | HMO | $19,888.00 | ↑ +143% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Tvh >250 gms 58290 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $585.20 – $16,163.28 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $856.56 – $16,592.78 |
| Community Medical Center | Toms River | $3,786.00 | $877.20 – $16,082.46 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $846.24 – $16,509.82 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $602.42 – $16,592.78 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $757.32 – $17,330.05 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,692.48 – $16,288.19 |
| Bayshore Medical Center | Holmdel | $8,185.02 | $8,185.02 – $9,822.02 |