Ductogram sgl duct at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$267.55
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.
$650.00
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.
$99.12 with KARNA vs $650.00 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 | $99.12 | ↓ -63% |
| AETNA | MANAGED MEDICAID | $107.90 | ↓ -60% |
| CLOVER | MEDICARE ADVANTAGE | $117.00 | ↓ -56% |
| AETNA | PPO | $118.32 | ↓ -56% |
| AETNA | HMO | $118.32 | ↓ -56% |
| CIGNA | PPO | $136.88 | ↓ -49% |
| CIGNA | HMO | $136.88 | ↓ -49% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $150.15 | ↓ -44% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $160.04 | ↓ -40% |
| VACCN | ALL PRODUCTS | $267.55 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $267.55 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $267.55 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $267.55 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $267.55 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $280.93 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $291.63 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $321.06 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $367.25 | ↑ +37% |
| UNITED HEALTHCARE | HMO | $367.25 | ↑ +37% |
| QUALCARE | HMO | $377.65 | ↑ +41% |
| HORIZON | WORKERS COMP | $469.69 | ↑ +76% |
| BERGEN RISK | ALL PRODUCTS | $487.50 | ↑ +82% |
| BEACON | ALL PRODUCTS | $487.50 | ↑ +82% |
| HORIZON | PIP | $495.30 | ↑ +85% |
| QUALCARE | PPO | $505.05 | ↑ +89% |
| AETNA | ASA | $508.95 | ↑ +90% |
| HORIZON | OMNIA | $515.71 | ↑ +93% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $520.00 | ↑ +94% |
| CIGNA | BH | $520.00 | ↑ +94% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $552.50 | ↑ +107% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $552.50 | ↑ +107% |
| AMERIHEALTH | LOCAL HMO | $567.84 | ↑ +112% |
| QUALCARE | WORKERS COMP | $572.00 | ↑ +114% |
| HORIZON | SHP | $630.96 | ↑ +136% |
| HORIZON | HMO | $634.27 | ↑ +137% |
| HORIZON | INDEMNITY | $641.23 | ↑ +140% |
| AMERIHEALTH | REGIONAL HMO | $643.11 | ↑ +140% |
| HORIZON | PPO | $650.00 | ↑ +143% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ductogram sgl duct at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $267.55 | $113.62 – $623.08 |
| Hackensack University Medical Center | Hackensack | $284.66 | $16.35 – $711.68 |
| Ocean University Medical Center | Brick | $264.17 | $99.12 – $264.17 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $267.78 | $104.05 – $659.90 |
| Palisades Medical Center | North Bergen | $284.66 | $18.04 – $623.08 |
| Raritan Bay Medical Center | Perth Amboy | $267.78 | $24.75 – $623.08 |
| Riverview Medical Center | Red Bank | $267.55 | $15.40 – $623.08 |
| Southern Ocean Medical Center | Manahawkin | $264.17 | $99.12 – $277.38 |