How many shoppable procedure prices are published for Jersey Shore University Medical Center?

Jersey Shore University Medical Center in Neptune, NJ currently has 134 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Jersey Shore University Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Jersey Shore University Medical Center's median negotiated commercial rate is 2.1× the regionally adjusted fair BaseRate benchmark.

What is Jersey Shore University Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Jersey Shore University Medical Center an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 580 Beds · urban Updated: 2025-12-31

Jersey Shore University Medical Center

1945 Rte 33, Neptune, NJ 07754 · 134 Priced Procedures · 69% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

2.12×vs. Fair Market Price

Typical commercial prices here are +112% above the fair benchmark (2.12×) even after accounting for local nurse/doctor wages and patient complexity.

85/100 · Verified

85/100Self-Pay Cash Beats Insurance 95% of the Time

File Completeness85

Price Logic84

Peer Alignment70

Clean Billing90

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 2.12× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Jersey Shore University Medical Center prices routine shoppable procedures near 3.3× Medicare (p50 2.19×) while skewing captive emergency, lab, and upper-quartile codes to 8.8× Medicare (p75 2.68×, +22% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#52 of 52 in NJ · 98th State Percentile#3,146 of 3,385 in U.S. · 92nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.51× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 95% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 69% patient recommendation (66/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (57.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (2.12× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (2.1×) & laboratory (2.2×) services average 2.67× higher multiples than routine shoppable care (3.3×)
Upper-quartile procedures (Q75 2.68×) jump +22% above the median procedure ratio (Q50 2.19×)
Unnegotiated chargemaster list prices average 10.3× Medicare (23¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

3.3× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER2.67× Divergence

8.8× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+22% Upper Tail

Q25 1.51× · Q50 2.19× · Q75 2.68×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

3.3× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.2× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.1× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.2× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

2.1× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

95% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 66/100Fair

Procedure Prices at Jersey Shore University Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 134 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$26,180	$29,495	$30,775	1.0×
Total hip replacement CPT Code: `27130`	$14,242	$13,563	$13,413	unverified
Total knee replacement CPT Code: `27447`	—	—	$13,523	—
Trauma team activation HCPCS Code: `G0390`	$1,465	$10,413	$1,453	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$6,620	$8,762	$8,223	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$6,458	$8,592	$6,109	1.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$16,645	$8,250	$19,087	unverified
Inguinal hernia repair CPT Code: `49505`	$3,906	$6,518	$3,629	1.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,126	$6,053	$1,021	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,591	$5,904	$3,372	unverified
Bunion correction surgery CPT Code: `28296`	$3,591	$5,834	$3,446	1.7×
C-section delivery (full package) CPT Code: `59510`	—	$5,590	$2,975	1.9×
Cataract surgery with lens implant CPT Code: `66984`	$2,524	$5,328	$2,540	2.1×
Breast lump removal CPT Code: `19120`	$4,238	$5,345	$3,875	1.4×
Vaginal delivery (full package) CPT Code: `59400`	—	$4,568	$2,680	1.7×
Colonoscopy with biopsy CPT Code: `45380`	$1,305	$3,362	$1,256	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$1,009	$3,303	$981	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$1,038	$3,215	$987	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$607	$3,064	$583	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	—	$2,216	$86	25.8×
Injection procedure for pain management HCPCS Code: `G0260`	$767	$2,191	$855	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$268	$2,044	$272	unverified
Blood transfusion CPT Code: `36430`	$484	$1,895	$498	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$395	$1,131	$511	unverified
MRI, knee or other leg joint CPT Code: `73721`	$268	$915	$369	unverified
MRI, brain (no contrast) CPT Code: `70551`	$268	$715	$343	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$395	$734	$448	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$268	$707	$338	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$268	$707	$303	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$197	$614	$258	unverified
CT scan, head (with contrast) CPT Code: `70460`	$197	$549	$242	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$178	$568	$185	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$118	$515	$169	unverified
Psychological testing by technician CPT Code: `96138`	$442	$481	$395	1.2×
Neurobehavioral status check CPT Code: `96116`	$345	$488	$231	unverified
New patient office visit (30-44 min) CPT Code: `99203`	—	$495	$110	unverified
Behavioral health day treatment HCPCS Code: `H0010`	—	$453	$343	1.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$225	$425	$201	2.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$395	$395	$17,936	0.0×
CT scan, sinuses CPT Code: `70486`	$118	$415	$166	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$118	$417	$167	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$118	$416	$168	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$178	$417	$181	unverified
CT scan, head (no contrast) CPT Code: `70450`	$118	$388	$160	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$406	$123	unverified
Group therapy session CPT Code: `90853`	$102	$330	$100	3.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$131	$351	$151	2.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$15,996	$339	$19,432	0.0×
CT scan, pelvis CPT Code: `72192`	$118	$356	$163	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$208	$359	$148	unverified
Family therapy session CPT Code: `90847`	$178	$373	$173	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$118	$322	$132	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$178	$343	$166	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$98	$326	$86	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$118	$300	$134	unverified
Ultrasound, pelvis CPT Code: `76856`	$118	$282	$130	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$169	$297	$123	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$299	$87	unverified
X-ray, chest (two views) CPT Code: `71046`	$97	$249	$93	2.7×
Rabies immune globulin HCPCS Code: `90375`	$266	$273	$322	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$66	$264	$64	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$118	$236	$126	unverified
X-ray, shoulder CPT Code: `73030`	$97	$200	$92	2.2×
Review of medical records for care CPT Code: `90889`	—	$198	$114	1.7×
X-ray, lower back CPT Code: `72110`	$118	$216	$112	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$37	$203	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$41	$198	$38	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$45	$208	$40	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$41	$219	$38	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$97	$177	$93	1.9×
Physical therapy (gait training) CPT Code: `97116`	$37	$167	$33	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$35	$177	$34	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$43	$185	$38	unverified
X-ray, hand CPT Code: `73130`	$97	$140	$93	1.5×
X-ray, foot CPT Code: `73630`	$97	$130	$92	1.4×
X-ray, hip CPT Code: `73502`	$97	$128	$93	1.4×
X-ray, pelvis CPT Code: `72170`	$118	$141	$110	1.3×
Psychological testing evaluation CPT Code: `96136`	$143	$140	$128	1.1×
Orthotic fitting and training CPT Code: `97760`	$60	$164	$51	unverified
Speech therapy (group session) CPT Code: `92508`	$30	$136	$27	unverified
Prosthetic fitting and training CPT Code: `97761`	$52	$154	$45	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$16	$155	$14	unverified
X-ray, chest (single view) CPT Code: `71045`	$97	$117	$92	1.3×
X-ray, ankle CPT Code: `73610`	$97	$117	$93	1.3×
Residential mental health treatment HCPCS Code: `H2036`	—	$87	$406	0.2×
Typhoid vaccine HCPCS Code: `90675`	$312	$975	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$377	$203	unverified
Blood test, vitamin D CPT Code: `82306`	$30	$315	$31	unverified
Pneumococcal vaccine HCPCS Code: `90732`	—	$279	$140	2.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$11	$223	$11	20.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$18	$228	$19	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$228	$111	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$19	$226	$20	unverified
Drug screening test HCPCS Code: `G0480`	$114	$251	$116	unverified
Blood antibody screen CPT Code: `86850`	$59	$193	$46	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$8	$129	$9	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$13	$151	$14	unverified
Culture, blood CPT Code: `87040`	$10	$159	$11	unverified
Culture, bacterial CPT Code: `87070`	$9	$162	$9	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$105	$56	1.9×
Blood test, liver function panel CPT Code: `80076`	$8	$115	$9	unverified
Blood test, vitamin B12 CPT Code: `82607`	$15	$111	$16	unverified
Flu vaccine injection HCPCS Code: `G0008`	$51	$107	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$51	$128	$49	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$3	$74	$3	24.7×
Blood test, amylase CPT Code: `82150`	$6	$79	$7	unverified
Blood test, magnesium CPT Code: `83735`	$7	$96	$7	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$59	$39	1.5×
Blood test, calcium CPT Code: `82310`	$5	$53	$5	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$14	$65	$14	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$17	$77	$18	unverified
Hepatitis C antibody test CPT Code: `86803`	$14	$65	$15	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$51	$68	$49	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$54	$78	$35	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$37	$25	1.5×
Hepatitis B vaccine HCPCS Code: `90744`	—	$62	$37	unverified
Blood test, hemoglobin CPT Code: `85018`	$2	$11	$3	3.7×
Community mental health services HCPCS Code: `H0038`	—	$18	$16	1.1×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$27	$25	1.1×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$35	$33	1.1×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$26	$28	$27	1.0×
Mental health services (therapy) HCPCS Code: `H0032`	—	$25	$65	0.4×
Behavioral health assessment HCPCS Code: `H0001`	—	$49	$157	0.3×
Care planning with family CPT Code: `90887`	—	$31	$107	0.3×
Blood test, lipase CPT Code: `83690`	$7	$49	$7	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$5	$23	$5	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$4	$28	$4	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$10	$41	$10	unverified
Blood test, potassium CPT Code: `84132`	$5	$46	$5	unverified
Blood test, sodium CPT Code: `84295`	$5	$31	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$4	$33	$4	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$8	$36	$8	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$4	$45	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$6	$32	$6	unverified

Showing top 25 high-impact procedures of 134 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 57.0%

Audit a Bill or Quote at Jersey Shore University Medical Center (Zero PHI Required)

CMS CCN: 310073

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $26,180

Insurer Median $29,495

1. Amount on Your Bill or Quote ($) Pre-filled with Jersey Shore University Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $40,314 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $40,314

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (57.0% of gross = $40,314).

Step 2 · Cash vs. Insurance Arbitrage Save $44,608 Paying Cash

Self-Pay Cash Rate ($26,180) Beats Your Bill

Jersey Shore University Medical Center's published 45 CFR § 180 self-pay cash rate is $26,180 (vs. $29,495 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$40,013 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($70,788) is $40,013 above the denoised Fair BaseRate ($30,775) and 3.0× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 221487576

Filing Period: 199609

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (57.0% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite66/100

Would Recommend69%

Rated 9 or 10 (HCAHPS)65%

Median ER Wait208 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.6%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Jersey Shore University Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-03-21·administrative_or_closure
Met Requirements
Recorded
2023-12-18·administrative_or_closure
Met Requirements
Recorded
2022-07-13·administrative_or_closure
Closure Notice
Recorded
2022-01-12·cap_corrective_action
CAP Request
Recorded
2021-07-20·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (4,122 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Jersey Shore University Medical Center.

Price Index: 1.80× regional baseline

Quality: 64/100 CMS composite

Median Household Income$122,727U.S. Census ACS

Local Uninsured Share5.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 85/100 · Verified CMS CCN 310073 EIN 221487576

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 310073) ↗ Verify IRS Form 990 (EIN 221487576) ↗ CMS HCRIS Cost Reports ↗

Published MRF File221487576-1144894577_hmh-hospitals-corporation_standardcharges.csv

Publication / Vintage2025-12-31 · 2434.30 MB

Validated Rate Rows6,623 (CMS v3.0.0)

File Integrity Digest2bbdffbc3b40638b6318…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy