Unlisted px external ear at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$257.04
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.
$1,260.00
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.
$0.01 with CIGNA 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 |
|---|---|---|---|
| CIGNA | HMO | $0.01 | ↓ -100% |
| CIGNA | PPO | $0.01 | ↓ -100% |
| AETNA | MANAGED MEDICAID | $209.16 | ↓ -19% |
| CLOVER | MEDICARE ADVANTAGE | $226.80 | ↓ -12% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $257.04 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $257.04 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $257.04 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $257.04 | ↑ +0% |
| VACCN | ALL PRODUCTS | $257.04 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $269.89 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $280.17 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $291.06 | ↑ +13% |
| UNITED HEALTHCARE | DSNP | $308.44 | ↑ +20% |
| BEACON | ALL PRODUCTS | $945.00 | ↑ +268% |
| BERGEN RISK | ALL PRODUCTS | $945.00 | ↑ +268% |
| HORIZON | PIP | $960.12 | ↑ +274% |
| QUALCARE | PPO | $979.02 | ↑ +281% |
| AETNA | ASA | $986.58 | ↑ +284% |
| HORIZON | OMNIA | $999.68 | ↑ +289% |
| CIGNA | BH | $1,008.00 | ↑ +292% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,071.00 | ↑ +317% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,071.00 | ↑ +317% |
| AMERIHEALTH | LOCAL HMO | $1,100.74 | ↑ +328% |
| QUALCARE | WORKERS COMP | $1,108.80 | ↑ +331% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +363% |
| HORIZON | SHP | $1,223.08 | ↑ +376% |
| HORIZON | HMO | $1,229.51 | ↑ +378% |
| HORIZON | INDEMNITY | $1,242.99 | ↑ +384% |
| AMERIHEALTH | REGIONAL HMO | $1,246.64 | ↑ +385% |
| HORIZON | PPO | $1,260.00 | ↑ +390% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↑ +611% |
| OXFORD | ALL PRODUCTS | $2,805.00 | ↑ +991% |
| UNITED HEALTHCARE | HMO | $3,315.00 | ↑ +1190% |
| QUALCARE | HMO | $6,256.00 | ↑ +2334% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +3854% |
| AETNA | PPO | $10,202.00 | ↑ +3869% |
| AETNA | HMO | $10,202.00 | ↑ +3869% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +5586% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted px external ear at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $253.79 – $505.04 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $260.53 – $518.45 |
| Bayshore Medical Center | Holmdel | $257.04 | $257.04 – $308.44 |
| Hackensack University Medical Center | Hackensack | $273.48 | $218.78 – $287.15 |
| Ocean University Medical Center | Brick | $253.79 | $232.22 – $304.55 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $257.26 | $232.22 – $257.26 |
| Palisades Medical Center | North Bergen | $273.48 | $273.48 – $298.09 |
| Raritan Bay Medical Center | Perth Amboy | $257.26 | $257.26 – $308.71 |