Dup scan/ue art/graft/bilat/comp 93930 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.
$1,704.00
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.
$267.55 with HORIZON BCBS BRAVEN vs $1,733.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $267.55 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $267.55 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $267.55 | ↑ +0% |
| VACCN | ALL PRODUCTS | $267.55 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $267.55 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $280.93 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $282.86 | ↑ +6% |
| AETNA | MEDICARE ADVANTAGE | $291.63 | ↑ +9% |
| CLOVER | MEDICARE ADVANTAGE | $306.72 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $321.06 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $337.72 | ↑ +26% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $393.62 | ↑ +47% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,003.66 | ↑ +275% |
| HORIZON | MANAGED MEDICAID | $1,175.59 | ↑ +339% |
| HORIZON | WORKERS COMP | $1,231.31 | ↑ +360% |
| OXFORD | ALL PRODUCTS | $1,271.00 | ↑ +375% |
| BEACON | ALL PRODUCTS | $1,278.00 | ↑ +378% |
| BERGEN RISK | ALL PRODUCTS | $1,278.00 | ↑ +378% |
| HORIZON | PIP | $1,298.45 | ↑ +385% |
| QUALCARE | PPO | $1,324.01 | ↑ +395% |
| QUALCARE | HMO | $1,324.01 | ↑ +395% |
| AETNA | ASA | $1,334.23 | ↑ +399% |
| HORIZON | OMNIA | $1,351.95 | ↑ +405% |
| CIGNA | BH | $1,363.20 | ↑ +410% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,448.40 | ↑ +441% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,448.40 | ↑ +441% |
| AMERIHEALTH | LOCAL HMO | $1,488.61 | ↑ +456% |
| QUALCARE | WORKERS COMP | $1,499.52 | ↑ +460% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,533.60 | ↑ +473% |
| AETNA | HMO | $1,533.60 | ↑ +473% |
| AETNA | PPO | $1,533.60 | ↑ +473% |
| CIGNA | HMO | $1,629.54 | ↑ +509% |
| CIGNA | PPO | $1,629.54 | ↑ +509% |
| HORIZON | SHP | $1,654.07 | ↑ +518% |
| HORIZON | HMO | $1,662.76 | ↑ +521% |
| HORIZON | INDEMNITY | $1,681.00 | ↑ +528% |
| AMERIHEALTH | REGIONAL HMO | $1,685.94 | ↑ +530% |
| HORIZON | PPO | $1,704.00 | ↑ +537% |
| UNITED HEALTHCARE | HMO | $1,733.00 | ↑ +548% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Dup scan/ue art/graft/bilat/comp 93930 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $267.55 | $267.55 – $1,207.00 |
| Hackensack University Medical Center | Hackensack | $284.66 | $227.73 – $4,324.00 |
| Ocean University Medical Center | Brick | $264.17 | $241.72 – $1,179.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $267.78 | $241.72 – $1,573.00 |
| Palisades Medical Center | North Bergen | $284.66 | $284.66 – $2,744.00 |
| Raritan Bay Medical Center | Perth Amboy | $267.78 | $267.78 – $2,585.00 |
| Riverview Medical Center | Red Bank | $267.55 | $267.55 – $1,036.00 |
| Southern Ocean Medical Center | Manahawkin | $264.17 | $264.17 – $1,114.00 |