Nm imaging bone/joint 3 phase study 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.
$2,977.00
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.
$357.98 with UNITED HEALTHCARE vs $2,977.00 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 | $357.98 | ↓ -20% |
| WELLCARE | MEDICARE ADVANTAGE | $444.77 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $444.77 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $444.77 | ↑ +0% |
| VACCN | ALL PRODUCTS | $444.77 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $444.77 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $467.01 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $484.80 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $494.18 | ↑ +11% |
| AMERIHEALTH | LOCAL HMO | $527.78 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $533.72 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $535.86 | ↑ +20% |
| AMERIHEALTH | REGIONAL HMO | $536.90 | ↑ +21% |
| KARNA | MEDICARE ADVANTAGE | $585.29 | ↑ +32% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $687.69 | ↑ +55% |
| AETNA | HMO | $902.46 | ↑ +103% |
| AETNA | PPO | $902.46 | ↑ +103% |
| CIGNA | HMO | $1,081.99 | ↑ +143% |
| CIGNA | PPO | $1,081.99 | ↑ +143% |
| UNITED HEALTHCARE | HMO | $1,158.70 | ↑ +161% |
| OXFORD | ALL PRODUCTS | $1,158.70 | ↑ +161% |
| HORIZON | WORKERS COMP | $2,151.18 | ↑ +384% |
| BEACON | ALL PRODUCTS | $2,232.75 | ↑ +402% |
| BERGEN RISK | ALL PRODUCTS | $2,232.75 | ↑ +402% |
| HORIZON | PIP | $2,268.47 | ↑ +410% |
| QUALCARE | PPO | $2,313.13 | ↑ +420% |
| QUALCARE | HMO | $2,313.13 | ↑ +420% |
| AETNA | ASA | $2,330.99 | ↑ +424% |
| HORIZON | OMNIA | $2,361.95 | ↑ +431% |
| CIGNA | BH | $2,381.60 | ↑ +435% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,530.45 | ↑ +469% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,530.45 | ↑ +469% |
| QUALCARE | WORKERS COMP | $2,619.76 | ↑ +489% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,679.30 | ↑ +502% |
| HORIZON | SHP | $2,889.77 | ↑ +550% |
| HORIZON | HMO | $2,904.96 | ↑ +553% |
| HORIZON | INDEMNITY | $2,936.81 | ↑ +560% |
| HORIZON | PPO | $2,977.00 | ↑ +569% |
| 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
Nm imaging bone/joint 3 phase study at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $528.93 | $150.44 – $1,403.91 |
| Cooperman Barnabas Medical Center | Livingston | $577.42 | $203.85 – $1,403.91 |
| Community Medical Center | Toms River | $584.45 | $203.85 – $1,403.91 |
| Clara Maass Medical Center | Belleville | $668.70 | $203.85 – $1,403.91 |
| Newark Beth Israel Medical Center | Newark | $567.61 | $170.46 – $1,403.91 |
| Jersey City Medical Center | Jersey City | $585.58 | $203.85 – $1,403.91 |
| Monmouth Medical Center | Long Branch | $616.57 | $203.85 – $1,403.91 |
| Bayshore Medical Center | Holmdel | $444.77 | $357.98 – $1,081.99 |