Lymphatics/lymph node imaging at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$595.79
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.
$2,248.00
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.
$305.21 with UNITED HEALTHCARE vs $2,248.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $305.21 | ↓ -49% |
| AETNA | MANAGED MEDICAID | $373.17 | ↓ -37% |
| AMERIHEALTH | LOCAL HMO | $379.22 | ↓ -36% |
| AMERIHEALTH | REGIONAL HMO | $385.77 | ↓ -35% |
| CLOVER | MEDICARE ADVANTAGE | $404.64 | ↓ -32% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $519.29 | ↓ -13% |
| WELLCARE | MANAGED MEDICAID | $595.79 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $595.79 | ↑ +0% |
| VACCN | ALL PRODUCTS | $595.79 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $595.79 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $595.79 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $597.65 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $625.58 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $649.41 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $714.95 | ↑ +20% |
| AETNA | HMO | $907.66 | ↑ +52% |
| AETNA | PPO | $907.66 | ↑ +52% |
| CIGNA | HMO | $1,083.23 | ↑ +82% |
| CIGNA | PPO | $1,083.23 | ↑ +82% |
| OXFORD | ALL PRODUCTS | $1,503.68 | ↑ +152% |
| UNITED HEALTHCARE | HMO | $1,503.68 | ↑ +152% |
| HORIZON | WORKERS COMP | $1,624.40 | ↑ +173% |
| BERGEN RISK | ALL PRODUCTS | $1,686.00 | ↑ +183% |
| BEACON | ALL PRODUCTS | $1,686.00 | ↑ +183% |
| HORIZON | PIP | $1,712.98 | ↑ +188% |
| QUALCARE | HMO | $1,746.70 | ↑ +193% |
| QUALCARE | PPO | $1,746.70 | ↑ +193% |
| AETNA | ASA | $1,760.18 | ↑ +195% |
| HORIZON | OMNIA | $1,783.56 | ↑ +199% |
| CIGNA | BH | $1,798.40 | ↑ +202% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,910.80 | ↑ +221% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,910.80 | ↑ +221% |
| QUALCARE | WORKERS COMP | $1,978.24 | ↑ +232% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,023.20 | ↑ +240% |
| HORIZON | SHP | $2,182.13 | ↑ +266% |
| HORIZON | HMO | $2,193.60 | ↑ +268% |
| HORIZON | INDEMNITY | $2,217.65 | ↑ +272% |
| HORIZON | PPO | $2,248.00 | ↑ +277% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Lymphatics/lymph node imaging at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $396.61 | $169.09 – $1,400.43 |
| Cooperman Barnabas Medical Center | Livingston | $443.50 | $135.30 – $1,400.43 |
| Community Medical Center | Toms River | $438.23 | $135.30 – $1,400.43 |
| Clara Maass Medical Center | Belleville | $511.96 | $135.30 – $1,400.43 |
| Newark Beth Israel Medical Center | Newark | $435.97 | $135.30 – $1,400.43 |
| Jersey City Medical Center | Jersey City | $439.08 | $135.30 – $1,400.43 |
| Monmouth Medical Center | Long Branch | $462.32 | $135.30 – $1,400.43 |
| Bayshore Medical Center | Holmdel | $595.79 | $305.21 – $1,325.05 |