Anal/urinary muscle study at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$173.18
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.
$743.00
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 $12,082.00 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 | $123.34 | ↓ -29% |
| CLOVER | MEDICARE ADVANTAGE | $133.74 | ↓ -23% |
| KARNA | MEDICARE ADVANTAGE | $134.36 | ↓ -22% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $171.63 | ↓ -1% |
| WELLCARE | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| VACCN | ALL PRODUCTS | $173.18 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $173.18 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $181.84 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $188.77 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $207.82 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $437.63 | ↑ +153% |
| OXFORD | ALL PRODUCTS | $506.28 | ↑ +192% |
| HORIZON | MANAGED MEDICAID | $512.60 | ↑ +196% |
| BEACON | ALL PRODUCTS | $557.25 | ↑ +222% |
| BERGEN RISK | ALL PRODUCTS | $557.25 | ↑ +222% |
| HORIZON | PIP | $566.17 | ↑ +227% |
| QUALCARE | HMO | $577.31 | ↑ +233% |
| QUALCARE | PPO | $577.31 | ↑ +233% |
| AETNA | ASA | $581.77 | ↑ +236% |
| CIGNA | BH | $594.40 | ↑ +243% |
| UNITED HEALTHCARE | HMO | $631.33 | ↑ +265% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $631.55 | ↑ +265% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $631.55 | ↑ +265% |
| AMERIHEALTH | LOCAL HMO | $649.08 | ↑ +275% |
| QUALCARE | WORKERS COMP | $653.84 | ↑ +278% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $668.70 | ↑ +286% |
| AETNA | PPO | $668.70 | ↑ +286% |
| AETNA | HMO | $668.70 | ↑ +286% |
| AMERIHEALTH | REGIONAL HMO | $735.12 | ↑ +324% |
| HORIZON | OMNIA | $9,533.00 | ↑ +5405% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +5760% |
| HORIZON | SHP | $10,970.00 | ↑ +6234% |
| HORIZON | HMO | $11,776.00 | ↑ +6700% |
| HORIZON | INDEMNITY | $11,886.00 | ↑ +6763% |
| HORIZON | PPO | $12,082.00 | ↑ +6877% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Anal/urinary muscle study at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $207.82 |
| Hackensack University Medical Center | Hackensack | $184.26 | $139.91 – $193.47 |
| Ocean University Medical Center | Brick | $170.99 | $134.36 – $205.19 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $173.33 | $122.00 – $173.33 |
| Palisades Medical Center | North Bergen | $184.26 | $120.17 – $200.84 |
| Raritan Bay Medical Center | Perth Amboy | $173.33 | $139.91 – $208.00 |
| Riverview Medical Center | Red Bank | $173.18 | $134.36 – $207.82 |
| Southern Ocean Medical Center | Manahawkin | $170.99 | $134.36 – $205.19 |