Nuclear rx intra-arterial at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$248.08
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.
$1,296.00
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.
$197.54 with UNITED HEALTHCARE vs $1,296.00 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 | $197.54 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $215.14 | ↓ -13% |
| CLOVER | MEDICARE ADVANTAGE | $233.28 | ↓ -6% |
| VACCN | ALL PRODUCTS | $248.08 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $248.08 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $248.08 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $248.08 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $248.08 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $260.48 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $270.41 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $297.70 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $299.38 | ↑ +21% |
| AMERIHEALTH | LOCAL HMO | $430.04 | ↑ +73% |
| AMERIHEALTH | REGIONAL HMO | $437.48 | ↑ +76% |
| KARNA | MEDICARE ADVANTAGE | $628.57 | ↑ +153% |
| OXFORD | ALL PRODUCTS | $766.96 | ↑ +209% |
| UNITED HEALTHCARE | HMO | $766.96 | ↑ +209% |
| HORIZON | WORKERS COMP | $936.49 | ↑ +277% |
| BERGEN RISK | ALL PRODUCTS | $972.00 | ↑ +292% |
| BEACON | ALL PRODUCTS | $972.00 | ↑ +292% |
| HORIZON | PIP | $987.55 | ↑ +298% |
| QUALCARE | PPO | $1,006.99 | ↑ +306% |
| QUALCARE | HMO | $1,006.99 | ↑ +306% |
| AETNA | ASA | $1,014.77 | ↑ +309% |
| HORIZON | OMNIA | $1,028.25 | ↑ +314% |
| CIGNA | BH | $1,036.80 | ↑ +318% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,101.60 | ↑ +344% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,101.60 | ↑ +344% |
| QUALCARE | WORKERS COMP | $1,140.48 | ↑ +360% |
| AETNA | HMO | $1,166.40 | ↑ +370% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,166.40 | ↑ +370% |
| AETNA | PPO | $1,166.40 | ↑ +370% |
| CIGNA | PPO | $1,239.36 | ↑ +400% |
| CIGNA | HMO | $1,239.36 | ↑ +400% |
| HORIZON | SHP | $1,258.03 | ↑ +407% |
| HORIZON | HMO | $1,264.64 | ↑ +410% |
| HORIZON | INDEMNITY | $1,278.50 | ↑ +415% |
| HORIZON | PPO | $1,296.00 | ↑ +422% |
| 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
Nuclear rx intra-arterial at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $180.37 | $59.50 – $493.13 |
| Community Medical Center | Toms River | $199.31 | $204.93 – $828.00 |
| Monmouth Medical Center | Long Branch | $210.26 | $204.93 – $828.00 |
| Bayshore Medical Center | Holmdel | $248.08 | $197.54 – $675.85 |
| Hackensack University Medical Center | Hackensack | $263.95 | $185.78 – $771.95 |
| Ocean University Medical Center | Brick | $244.95 | $197.54 – $675.85 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $248.30 | $224.13 – $715.79 |
| Palisades Medical Center | North Bergen | $263.95 | $204.93 – $675.85 |