CT upper extremity w/contrast (both sides) at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$395.29
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.
$2,548.00
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.
$378.95 with KARNA vs $2,548.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $378.95 | ↓ -4% |
| WELLCARE | MEDICARE ADVANTAGE | $395.29 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $395.29 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $395.29 | ↑ +0% |
| VACCN | ALL PRODUCTS | $395.29 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $395.29 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $415.06 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $422.97 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $430.87 | ↑ +9% |
| CLOVER | MEDICARE ADVANTAGE | $458.64 | ↑ +16% |
| CIGNA | PPO | $463.75 | ↑ +17% |
| CIGNA | HMO | $463.75 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $474.35 | ↑ +20% |
| AETNA | HMO | $479.96 | ↑ +21% |
| AETNA | PPO | $479.96 | ↑ +21% |
| AMERIHEALTH | LOCAL HMO | $541.46 | ↑ +37% |
| AMERIHEALTH | REGIONAL HMO | $550.82 | ↑ +39% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $588.59 | ↑ +49% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $650.00 | ↑ +64% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $714.00 | ↑ +81% |
| OXFORD | ALL PRODUCTS | $1,131.05 | ↑ +186% |
| UNITED HEALTHCARE | HMO | $1,131.05 | ↑ +186% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,758.12 | ↑ +345% |
| HORIZON | WORKERS COMP | $1,841.18 | ↑ +366% |
| BEACON | ALL PRODUCTS | $1,911.00 | ↑ +383% |
| BERGEN RISK | ALL PRODUCTS | $1,911.00 | ↑ +383% |
| HORIZON | PIP | $1,941.58 | ↑ +391% |
| AETNA | ASA | $1,995.08 | ↑ +405% |
| HORIZON | OMNIA | $2,021.58 | ↑ +411% |
| CIGNA | BH | $2,038.40 | ↑ +416% |
| QUALCARE | HMO | $2,083.00 | ↑ +427% |
| QUALCARE | WORKERS COMP | $2,159.00 | ↑ +446% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,165.80 | ↑ +448% |
| QUALCARE | PPO | $2,218.00 | ↑ +461% |
| HORIZON | SHP | $2,473.34 | ↑ +526% |
| HORIZON | HMO | $2,486.34 | ↑ +529% |
| HORIZON | INDEMNITY | $2,513.60 | ↑ +536% |
| HORIZON | PPO | $2,548.00 | ↑ +545% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
CT upper extremity w/contrast (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $395.29 | $395.29 – $2,083.00 |
| Hackensack University Medical Center | Hackensack | $420.58 | $217.01 – $2,028.74 |
| Ocean University Medical Center | Brick | $390.30 | $357.13 – $2,083.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $395.64 | $357.13 – $950.67 |
| Palisades Medical Center | North Bergen | $420.58 | $239.39 – $895.45 |
| Raritan Bay Medical Center | Perth Amboy | $395.64 | $328.43 – $1,752.00 |
| Riverview Medical Center | Red Bank | $395.29 | $204.36 – $2,083.00 |
| Southern Ocean Medical Center | Manahawkin | $390.30 | $378.95 – $550.98 |