Clsd tx wrist trans-scaph fx w/manip 25680 at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$265.51
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.
$672.00
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.
$111.55 with AETNA vs $4,497.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $111.55 | ↓ -58% |
| CLOVER | MEDICARE ADVANTAGE | $120.96 | ↓ -54% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $155.23 | ↓ -42% |
| VACCN | ALL PRODUCTS | $265.51 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $265.51 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $265.51 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $265.51 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $265.51 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $278.79 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $289.41 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $318.62 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $457.90 | ↑ +72% |
| HORIZON | PIP | $512.06 | ↑ +93% |
| AETNA | ASA | $526.18 | ↑ +98% |
| CIGNA | BH | $537.60 | ↑ +102% |
| UNITED HEALTHCARE | HMO | $571.00 | ↑ +115% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $571.20 | ↑ +115% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $571.20 | ↑ +115% |
| QUALCARE | WORKERS COMP | $591.36 | ↑ +123% |
| KARNA | MEDICARE ADVANTAGE | $1,138.69 | ↑ +329% |
| HORIZON | WORKERS COMP | $4,497.00 | ↑ +1594% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
| BEACON | ALL PRODUCTS | not published by hospital | — |
| QUALCARE | HMO | not published by hospital | — |
| QUALCARE | PPO | not published by hospital | — |
| AMERIHEALTH | REGIONAL HMO | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIHEALTH | LOCAL HMO | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AETNA | PPO | not published by hospital | — |
| AETNA | HMO | not published by hospital | — |
| BERGEN RISK | ALL PRODUCTS | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
| HORIZON | HMO | not published by hospital | — |
| HORIZON | INDEMNITY | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | OMNIA | not published by hospital | — |
| HORIZON | PPO | not published by hospital | — |
| HORIZON | SHP | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx wrist trans-scaph fx w/manip 25680 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $265.51 | $265.51 – $368.00 |
| Hackensack University Medical Center | Hackensack | $282.50 | $226.00 – $1,182.18 |
| Ocean University Medical Center | Brick | $262.16 | $239.88 – $1,138.69 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $265.74 | $239.88 – $1,182.18 |
| Palisades Medical Center | North Bergen | $282.50 | $282.50 – $1,182.18 |
| Raritan Bay Medical Center | Perth Amboy | $265.74 | $265.74 – $1,182.18 |
| Riverview Medical Center | Red Bank | $265.51 | $265.51 – $1,138.69 |
| Southern Ocean Medical Center | Manahawkin | $262.16 | $262.16 – $1,138.69 |