Manipulation chest wall demonstration/evaluation subsequent at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$142.67
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.
$287.00
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.
$47.64 with AETNA vs $1,011.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $47.64 | ↓ -67% |
| CLOVER | MEDICARE ADVANTAGE | $51.66 | ↓ -64% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $66.30 | ↓ -54% |
| KARNA | MEDICARE ADVANTAGE | $67.60 | ↓ -53% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $142.67 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $142.67 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $142.67 | ↑ +0% |
| VACCN | ALL PRODUCTS | $142.67 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $142.67 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $149.81 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $155.51 | ↑ +9% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $169.04 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $171.21 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $198.00 | ↑ +39% |
| HORIZON | WORKERS COMP | $207.39 | ↑ +45% |
| BEACON | ALL PRODUCTS | $215.25 | ↑ +51% |
| BERGEN RISK | ALL PRODUCTS | $215.25 | ↑ +51% |
| HORIZON | PIP | $218.69 | ↑ +53% |
| QUALCARE | PPO | $223.00 | ↑ +56% |
| QUALCARE | HMO | $223.00 | ↑ +56% |
| AETNA | ASA | $224.72 | ↑ +58% |
| HORIZON | OMNIA | $227.71 | ↑ +60% |
| CIGNA | BH | $229.60 | ↑ +61% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $243.95 | ↑ +71% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $243.95 | ↑ +71% |
| AMERIHEALTH | LOCAL HMO | $250.72 | ↑ +76% |
| QUALCARE | WORKERS COMP | $252.56 | ↑ +77% |
| AETNA | PPO | $258.30 | ↑ +81% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $258.30 | ↑ +81% |
| AETNA | HMO | $258.30 | ↑ +81% |
| CIGNA | HMO | $274.46 | ↑ +92% |
| CIGNA | PPO | $274.46 | ↑ +92% |
| HORIZON | SHP | $278.59 | ↑ +95% |
| HORIZON | HMO | $280.05 | ↑ +96% |
| HORIZON | INDEMNITY | $283.13 | ↑ +98% |
| AMERIHEALTH | REGIONAL HMO | $283.96 | ↑ +99% |
| HORIZON | PPO | $287.00 | ↑ +101% |
| OXFORD | ALL PRODUCTS | $604.00 | ↑ +323% |
| UNITED HEALTHCARE | HMO | $1,011.00 | ↑ +609% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Manipulation chest wall demonstration/evaluation subsequent at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $40.54 | $99.72 – $281.74 |
| Cooperman Barnabas Medical Center | Livingston | $65.47 | $69.72 – $289.24 |
| Community Medical Center | Toms River | $44.79 | $71.40 – $280.33 |
| Clara Maass Medical Center | Belleville | $40.97 | $68.88 – $287.79 |
| Childrens Specialized Hospital | Mountainside | $56.50 | $394.00 – $394.00 |
| Newark Beth Israel Medical Center | Newark | $64.36 | $126.42 – $289.24 |
| Jersey City Medical Center | Jersey City | $44.88 | $75.60 – $302.08 |
| Monmouth Medical Center | Long Branch | $47.26 | $137.76 – $283.91 |