Appl modality 1/> areas vasopneumatic devices 97016 at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$14.87
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.
$202.00
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.
$11.90 with OPTUM HEALTH vs $561.00 with OXFORD — 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 |
|---|---|---|---|
| OPTUM HEALTH | MANAGED MEDICAID | $11.90 | ↓ -20% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $14.87 | ↑ +0% |
| VACCN | ALL PRODUCTS | $14.87 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $14.87 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $15.61 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $16.21 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $17.84 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $19.45 | ↑ +31% |
| AETNA | MANAGED MEDICAID | $33.53 | ↑ +125% |
| CLOVER | MEDICARE ADVANTAGE | $36.36 | ↑ +145% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $46.66 | ↑ +214% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $46.86 | ↑ +215% |
| HORIZON | MANAGED MEDICAID | $60.00 | ↑ +303% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $118.98 | ↑ +700% |
| HORIZON | WORKERS COMP | $145.97 | ↑ +882% |
| AETNA | PPO | $148.47 | ↑ +898% |
| AETNA | HMO | $148.47 | ↑ +898% |
| HORIZON | PIP | $153.92 | ↑ +935% |
| QUALCARE | PPO | $156.95 | ↑ +955% |
| AETNA | ASA | $158.17 | ↑ +964% |
| HORIZON | OMNIA | $160.27 | ↑ +978% |
| CIGNA | BH | $161.60 | ↑ +987% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $171.70 | ↑ +1055% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $171.70 | ↑ +1055% |
| AMERIHEALTH | LOCAL HMO | $176.47 | ↑ +1087% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $181.80 | ↑ +1123% |
| QUALCARE | WORKERS COMP | $183.42 | ↑ +1133% |
| CIGNA | HMO | $193.17 | ↑ +1199% |
| CIGNA | PPO | $193.17 | ↑ +1199% |
| HORIZON | SHP | $196.08 | ↑ +1219% |
| HORIZON | HMO | $197.11 | ↑ +1226% |
| HORIZON | INDEMNITY | $199.27 | ↑ +1240% |
| AMERIHEALTH | REGIONAL HMO | $199.86 | ↑ +1244% |
| HORIZON | PPO | $202.00 | ↑ +1258% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +1406% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +1406% |
| BEACON | ALL PRODUCTS | $262.00 | ↑ +1662% |
| BERGEN RISK | ALL PRODUCTS | $291.00 | ↑ +1857% |
| QUALCARE | HMO | $306.00 | ↑ +1958% |
| UNITED HEALTHCARE | HMO | $367.00 | ↑ +2368% |
| OXFORD | ALL PRODUCTS | $561.00 | ↑ +3673% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Appl modality 1/> areas vasopneumatic devices 97016 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $14.87 | $14.87 – $447.00 |
| Hackensack University Medical Center | Hackensack | $14.87 | $11.90 – $406.00 |
| Ocean University Medical Center | Brick | $14.87 | $14.87 – $525.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $14.87 | $14.87 – $525.00 |
| Palisades Medical Center | North Bergen | $14.87 | $14.87 – $558.00 |
| Raritan Bay Medical Center | Perth Amboy | $14.87 | $14.87 – $471.00 |
| Riverview Medical Center | Red Bank | $14.87 | $14.87 – $464.00 |
| Southern Ocean Medical Center | Manahawkin | $14.87 | $14.87 – $563.00 |