Ot therapeutic activities direct patient contact each 15 minutes at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$44.62
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.
$261.00
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.
$35.70 with OPTUM HEALTH vs $561.00 with OXFORD — 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 |
|---|---|---|---|
| OPTUM HEALTH | MANAGED MEDICAID | $35.70 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $43.33 | ↓ -3% |
| AMERIGROUP | MANAGED MEDICAID | $44.62 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $44.62 | ↑ +0% |
| VACCN | ALL PRODUCTS | $44.62 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $46.85 | ↑ +5% |
| CLOVER | MEDICARE ADVANTAGE | $46.98 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $48.64 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $53.54 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $60.00 | ↑ +34% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $60.29 | ↑ +35% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $60.55 | ↑ +36% |
| KARNA | MEDICARE ADVANTAGE | $61.10 | ↑ +37% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $153.73 | ↑ +245% |
| HORIZON | WORKERS COMP | $188.60 | ↑ +323% |
| AETNA | HMO | $191.84 | ↑ +330% |
| AETNA | PPO | $191.84 | ↑ +330% |
| HORIZON | PIP | $198.88 | ↑ +346% |
| QUALCARE | PPO | $202.80 | ↑ +355% |
| AETNA | ASA | $204.36 | ↑ +358% |
| HORIZON | OMNIA | $207.08 | ↑ +364% |
| CIGNA | BH | $208.80 | ↑ +368% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $221.85 | ↑ +397% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $221.85 | ↑ +397% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +402% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +402% |
| AMERIHEALTH | LOCAL HMO | $228.01 | ↑ +411% |
| QUALCARE | WORKERS COMP | $236.99 | ↑ +431% |
| CIGNA | PPO | $249.59 | ↑ +459% |
| CIGNA | HMO | $249.59 | ↑ +459% |
| HORIZON | SHP | $253.35 | ↑ +468% |
| HORIZON | HMO | $254.68 | ↑ +471% |
| HORIZON | INDEMNITY | $257.48 | ↑ +477% |
| AMERIHEALTH | REGIONAL HMO | $258.23 | ↑ +479% |
| HORIZON | PPO | $261.00 | ↑ +485% |
| BEACON | ALL PRODUCTS | $262.00 | ↑ +487% |
| BERGEN RISK | ALL PRODUCTS | $291.00 | ↑ +552% |
| QUALCARE | HMO | $306.00 | ↑ +586% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $355.00 | ↑ +696% |
| UNITED HEALTHCARE | HMO | $367.00 | ↑ +723% |
| OXFORD | ALL PRODUCTS | $561.00 | ↑ +1157% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ot therapeutic activities direct patient contact each 15 minutes at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $75.20 | $27.26 – $27.26 |
| Saint Barnabas Behavioral Health Center | Toms River | $76.26 | not published |
| Childrens Specialized Hospital | Mountainside | $76.50 | $237.00 – $394.00 |
| Bayshore Medical Center | Holmdel | $44.62 | $44.62 – $447.00 |
| Hackensack University Medical Center | Hackensack | $44.62 | $35.70 – $406.00 |
| Ocean University Medical Center | Brick | $44.62 | $44.62 – $500.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $44.62 | $44.62 – $523.00 |
| Palisades Medical Center | North Bergen | $44.62 | $27.25 – $558.00 |