Mr safety determination physician/other qhp at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$97.46
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.
$259.00
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.
$42.99 with AETNA vs $4,332.00 with BERGEN RISK — 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 | $42.99 | ↓ -56% |
| CLOVER | MEDICARE ADVANTAGE | $46.62 | ↓ -52% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $59.83 | ↓ -39% |
| AMERIHEALTH | LOCAL HMO | $60.16 | ↓ -38% |
| AMERIHEALTH | REGIONAL HMO | $61.20 | ↓ -37% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $97.46 | ↑ +0% |
| VACCN | ALL PRODUCTS | $97.46 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $102.33 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $106.23 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $116.95 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $146.34 | ↑ +50% |
| UNITED HEALTHCARE | HMO | $146.34 | ↑ +50% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $178.71 | ↑ +83% |
| HORIZON | WORKERS COMP | $187.15 | ↑ +92% |
| HORIZON | PIP | $197.36 | ↑ +103% |
| AETNA | PPO | $198.79 | ↑ +104% |
| AETNA | HMO | $198.79 | ↑ +104% |
| AETNA | ASA | $202.80 | ↑ +108% |
| HORIZON | OMNIA | $205.49 | ↑ +111% |
| CIGNA | BH | $207.20 | ↑ +113% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $220.15 | ↑ +126% |
| QUALCARE | WORKERS COMP | $235.17 | ↑ +141% |
| CIGNA | PPO | $247.68 | ↑ +154% |
| CIGNA | HMO | $247.68 | ↑ +154% |
| HORIZON | SHP | $251.41 | ↑ +158% |
| HORIZON | HMO | $252.73 | ↑ +159% |
| HORIZON | INDEMNITY | $255.50 | ↑ +162% |
| HORIZON | PPO | $259.00 | ↑ +166% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $650.00 | ↑ +567% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $951.00 | ↑ +876% |
| QUALCARE | HMO | $2,083.00 | ↑ +2037% |
| QUALCARE | PPO | $2,218.00 | ↑ +2176% |
| BEACON | ALL PRODUCTS | $3,903.00 | ↑ +3905% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +4345% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Mr safety determination physician/other qhp at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $39.60 | $58.07 – $192.46 |
| Cooperman Barnabas Medical Center | Livingston | $44.71 | $43.04 – $197.58 |
| Community Medical Center | Toms River | $43.76 | $43.04 – $191.50 |
| Clara Maass Medical Center | Belleville | $41.96 | $43.12 – $196.59 |
| Newark Beth Israel Medical Center | Newark | $43.95 | $43.04 – $197.58 |
| Jersey City Medical Center | Jersey City | $43.84 | $43.04 – $206.34 |
| Monmouth Medical Center | Long Branch | $46.16 | $43.04 – $193.95 |
| Bayshore Medical Center | Holmdel | $97.46 | $61.21 – $4,332.00 |