Mitomycin instillation at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$317.42
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.
?
What you pay up front if you don't use insurance.
$2,288.59
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.
?
The hospital's undiscounted list price — almost no one pays this.
$269.81 with HORIZON vs $2,288.59 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | MANAGED MEDICAID | $269.81 | ↓ -15% |
| VACCN | ALL PRODUCTS | $317.42 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $317.42 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $317.42 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $333.29 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $345.99 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $380.90 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $391.72 | ↑ +23% |
| CLOVER | MEDICARE ADVANTAGE | $411.95 | ↑ +30% |
| AMERIHEALTH | LOCAL HMO | $665.75 | ↑ +110% |
| AMERIHEALTH | REGIONAL HMO | $728.23 | ↑ +129% |
| WELLCARE | MEDICARE ADVANTAGE | $1,029.87 | ↑ +224% |
| WELLCARE | MANAGED MEDICAID | $1,029.87 | ↑ +224% |
| QUALCARE | HMO | $1,071.06 | ↑ +237% |
| AETNA | MANAGED MEDICAID | $1,121.41 | ↑ +253% |
| CIGNA | PPO | $1,132.85 | ↑ +257% |
| CIGNA | HMO | $1,132.85 | ↑ +257% |
| AMERIGROUP | MANAGED MEDICAID | $1,144.30 | ↑ +261% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,144.30 | ↑ +261% |
| QUALCARE | PPO | $1,178.62 | ↑ +271% |
| QUALCARE | WORKERS COMP | $1,178.62 | ↑ +271% |
| UNITED HEALTHCARE | HMO | $1,293.05 | ↑ +307% |
| OXFORD | ALL PRODUCTS | $1,293.05 | ↑ +307% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,347.98 | ↑ +325% |
| BERGEN RISK | ALL PRODUCTS | $1,373.15 | ↑ +333% |
| BEACON | ALL PRODUCTS | $1,373.15 | ↑ +333% |
| AETNA | PPO | $1,386.89 | ↑ +337% |
| AETNA | HMO | $1,386.89 | ↑ +337% |
| HORIZON | WORKERS COMP | $1,653.74 | ↑ +421% |
| HORIZON | PIP | $1,743.91 | ↑ +449% |
| AETNA | ASA | $1,791.97 | ↑ +465% |
| HORIZON | OMNIA | $1,815.77 | ↑ +472% |
| CIGNA | BH | $1,830.87 | ↑ +477% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,945.30 | ↑ +513% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,945.30 | ↑ +513% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,059.73 | ↑ +549% |
| HORIZON | SHP | $2,221.53 | ↑ +600% |
| HORIZON | HMO | $2,233.21 | ↑ +604% |
| HORIZON | INDEMNITY | $2,257.69 | ↑ +611% |
| HORIZON | PPO | $2,288.59 | ↑ +621% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Mitomycin instillation at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $317.42 | $269.81 – $605.14 |
| Palisades Medical Center | North Bergen | $307.34 | $269.81 – $605.14 |
| Raritan Bay Medical Center | Perth Amboy | $317.42 | $269.81 – $605.14 |
| Riverview Medical Center | Red Bank | $317.42 | $269.81 – $605.14 |
| Southern Ocean Medical Center | Manahawkin | $317.42 | $269.81 – $391.72 |
| Trinitas Regional Medical Center | Elizabeth | not published | $269.82 – $677.16 |
| Cooperman Barnabas Medical Center | Livingston | not published | $278.57 – $698.64 |
| Community Medical Center | Toms River | not published | $278.57 – $677.16 |