Liver/spleen imag w/vasclr flow at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$444.77
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.
$1,818.00
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.
$235.34 with KARNA vs $1,818.00 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 | $235.34 | ↓ -47% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $260.50 | ↓ -41% |
| AETNA | MANAGED MEDICAID | $301.79 | ↓ -32% |
| AETNA | PPO | $302.99 | ↓ -32% |
| AETNA | HMO | $302.99 | ↓ -32% |
| AMERIHEALTH | LOCAL HMO | $308.85 | ↓ -31% |
| AMERIHEALTH | REGIONAL HMO | $314.19 | ↓ -29% |
| CLOVER | MEDICARE ADVANTAGE | $327.24 | ↓ -26% |
| CIGNA | HMO | $373.38 | ↓ -16% |
| CIGNA | PPO | $373.38 | ↓ -16% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $419.96 | ↓ -6% |
| VACCN | ALL PRODUCTS | $444.77 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $444.77 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $444.77 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $444.77 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $444.77 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $467.01 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $484.80 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $533.72 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $1,158.70 | ↑ +161% |
| UNITED HEALTHCARE | HMO | $1,158.70 | ↑ +161% |
| HORIZON | WORKERS COMP | $1,313.69 | ↑ +195% |
| BERGEN RISK | ALL PRODUCTS | $1,363.50 | ↑ +207% |
| BEACON | ALL PRODUCTS | $1,363.50 | ↑ +207% |
| HORIZON | PIP | $1,385.32 | ↑ +211% |
| QUALCARE | PPO | $1,412.59 | ↑ +218% |
| QUALCARE | HMO | $1,412.59 | ↑ +218% |
| AETNA | ASA | $1,423.49 | ↑ +220% |
| HORIZON | OMNIA | $1,442.40 | ↑ +224% |
| CIGNA | BH | $1,454.40 | ↑ +227% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,545.30 | ↑ +247% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,545.30 | ↑ +247% |
| QUALCARE | WORKERS COMP | $1,599.84 | ↑ +260% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,636.20 | ↑ +268% |
| HORIZON | SHP | $1,764.73 | ↑ +297% |
| HORIZON | HMO | $1,774.00 | ↑ +299% |
| HORIZON | INDEMNITY | $1,793.46 | ↑ +303% |
| HORIZON | PPO | $1,818.00 | ↑ +309% |
| 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
Liver/spleen imag w/vasclr flow at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Clara Maass Medical Center | Belleville | $559.30 | $126.00 – $897.13 |
| Newark Beth Israel Medical Center | Newark | $633.44 | $68.54 – $901.64 |
| Bayshore Medical Center | Holmdel | $444.77 | $260.50 – $1,021.05 |
| Hackensack University Medical Center | Hackensack | $473.22 | $114.22 – $1,166.24 |
| Ocean University Medical Center | Brick | $439.15 | $235.34 – $1,021.05 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $445.16 | $247.71 – $1,081.39 |
| Palisades Medical Center | North Bergen | $473.22 | $126.00 – $1,021.05 |
| Raritan Bay Medical Center | Perth Amboy | $445.16 | $172.87 – $1,021.05 |