CT colonography dx at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$117.70
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.
$605.00
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.
$100.43 with AETNA vs $2,218.00 with QUALCARE — 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 | $100.43 | ↓ -15% |
| CLOVER | MEDICARE ADVANTAGE | $108.90 | ↓ -7% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.59 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $128.30 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $139.76 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| AETNA | HMO | $326.16 | ↑ +177% |
| AETNA | PPO | $326.16 | ↑ +177% |
| UNITED HEALTHCARE | HMO | $341.83 | ↑ +190% |
| OXFORD | ALL PRODUCTS | $341.83 | ↑ +190% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $417.45 | ↑ +255% |
| HORIZON | WORKERS COMP | $437.17 | ↑ +271% |
| BERGEN RISK | ALL PRODUCTS | $453.75 | ↑ +286% |
| BEACON | ALL PRODUCTS | $453.75 | ↑ +286% |
| HORIZON | PIP | $461.01 | ↑ +292% |
| AETNA | ASA | $473.72 | ↑ +302% |
| HORIZON | OMNIA | $480.01 | ↑ +308% |
| CIGNA | BH | $484.00 | ↑ +311% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $514.25 | ↑ +337% |
| QUALCARE | WORKERS COMP | $549.34 | ↑ +367% |
| AMERIHEALTH | LOCAL HMO | $586.42 | ↑ +398% |
| HORIZON | SHP | $587.27 | ↑ +399% |
| HORIZON | HMO | $590.36 | ↑ +402% |
| AMERIHEALTH | REGIONAL HMO | $596.56 | ↑ +407% |
| HORIZON | INDEMNITY | $596.83 | ↑ +407% |
| HORIZON | PPO | $605.00 | ↑ +414% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $650.00 | ↑ +452% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $714.00 | ↑ +507% |
| KARNA | MEDICARE ADVANTAGE | $782.44 | ↑ +565% |
| CIGNA | PPO | $996.51 | ↑ +747% |
| CIGNA | HMO | $996.51 | ↑ +747% |
| QUALCARE | HMO | $2,083.00 | ↑ +1670% |
| QUALCARE | PPO | $2,218.00 | ↑ +1784% |
| 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
CT colonography dx at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $2,083.00 |
| Hackensack University Medical Center | Hackensack | $125.23 | $100.19 – $976.54 |
| Ocean University Medical Center | Brick | $116.22 | $106.34 – $2,083.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $106.34 – $1,023.45 |
| Palisades Medical Center | North Bergen | $125.23 | $125.23 – $996.51 |
| Raritan Bay Medical Center | Perth Amboy | $117.81 | $117.81 – $1,752.00 |
| Riverview Medical Center | Red Bank | $117.70 | $117.70 – $2,083.00 |
| Southern Ocean Medical Center | Manahawkin | $116.22 | $116.22 – $996.51 |