Brain flow imaging only at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$595.79
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.
$2,364.00
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.
$27.37 with AMERIHEALTH vs $2,364.00 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 |
|---|---|---|---|
| AMERIHEALTH | LOCAL HMO | $27.37 | ↓ -95% |
| AMERIHEALTH | REGIONAL HMO | $27.84 | ↓ -95% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $119.33 | ↓ -80% |
| KARNA | MEDICARE ADVANTAGE | $300.23 | ↓ -50% |
| AETNA | MANAGED MEDICAID | $392.42 | ↓ -34% |
| CLOVER | MEDICARE ADVANTAGE | $425.52 | ↓ -29% |
| AETNA | HMO | $486.93 | ↓ -18% |
| AETNA | PPO | $486.93 | ↓ -18% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $546.08 | ↓ -8% |
| CIGNA | PPO | $582.06 | ↓ -2% |
| CIGNA | HMO | $582.06 | ↓ -2% |
| VACCN | ALL PRODUCTS | $595.79 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $595.79 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $595.79 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $595.79 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $595.79 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $625.58 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $649.41 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $714.95 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $1,503.68 | ↑ +152% |
| UNITED HEALTHCARE | HMO | $1,503.68 | ↑ +152% |
| HORIZON | WORKERS COMP | $1,708.23 | ↑ +187% |
| BERGEN RISK | ALL PRODUCTS | $1,773.00 | ↑ +198% |
| BEACON | ALL PRODUCTS | $1,773.00 | ↑ +198% |
| HORIZON | PIP | $1,801.37 | ↑ +202% |
| QUALCARE | PPO | $1,836.83 | ↑ +208% |
| QUALCARE | HMO | $1,836.83 | ↑ +208% |
| AETNA | ASA | $1,851.01 | ↑ +211% |
| HORIZON | OMNIA | $1,875.60 | ↑ +215% |
| CIGNA | BH | $1,891.20 | ↑ +217% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,009.40 | ↑ +237% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,009.40 | ↑ +237% |
| QUALCARE | WORKERS COMP | $2,080.32 | ↑ +249% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,127.60 | ↑ +257% |
| HORIZON | SHP | $2,294.73 | ↑ +285% |
| HORIZON | HMO | $2,306.79 | ↑ +287% |
| HORIZON | INDEMNITY | $2,332.09 | ↑ +291% |
| HORIZON | PPO | $2,364.00 | ↑ +297% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Brain flow imaging only at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $595.79 | $27.85 – $1,325.05 |
| Hackensack University Medical Center | Hackensack | $633.90 | $25.17 – $1,513.47 |
| Ocean University Medical Center | Brick | $588.26 | $27.85 – $1,325.05 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $596.31 | $24.90 – $1,403.35 |
| Palisades Medical Center | North Bergen | $633.90 | $27.77 – $1,325.05 |
| Raritan Bay Medical Center | Perth Amboy | $596.31 | $27.85 – $1,325.05 |
| Riverview Medical Center | Red Bank | $595.79 | $23.70 – $1,325.05 |
| Southern Ocean Medical Center | Manahawkin | $588.26 | $27.85 – $617.68 |