Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$37.06
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.
$255.00
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.
$29.65 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 | $29.65 | ↓ -20% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $37.06 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $37.06 | ↑ +0% |
| VACCN | ALL PRODUCTS | $37.06 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $38.91 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $40.40 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $42.33 | ↑ +14% |
| UNITED HEALTHCARE | DSNP | $44.47 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $45.90 | ↑ +24% |
| KARNA | MEDICARE ADVANTAGE | $48.56 | ↑ +31% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $58.91 | ↑ +59% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $59.16 | ↑ +60% |
| HORIZON | MANAGED MEDICAID | $60.00 | ↑ +62% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $150.20 | ↑ +305% |
| HORIZON | WORKERS COMP | $184.26 | ↑ +397% |
| AETNA | PPO | $187.43 | ↑ +406% |
| AETNA | HMO | $187.43 | ↑ +406% |
| HORIZON | PIP | $194.31 | ↑ +424% |
| QUALCARE | PPO | $198.14 | ↑ +435% |
| AETNA | ASA | $199.67 | ↑ +439% |
| HORIZON | OMNIA | $202.32 | ↑ +446% |
| CIGNA | BH | $204.00 | ↑ +450% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $216.75 | ↑ +485% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $216.75 | ↑ +485% |
| AMERIHEALTH | LOCAL HMO | $222.77 | ↑ +501% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +504% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +504% |
| QUALCARE | WORKERS COMP | $231.54 | ↑ +525% |
| CIGNA | PPO | $243.86 | ↑ +558% |
| CIGNA | HMO | $243.86 | ↑ +558% |
| HORIZON | SHP | $247.53 | ↑ +568% |
| HORIZON | HMO | $248.83 | ↑ +571% |
| HORIZON | INDEMNITY | $251.56 | ↑ +579% |
| AMERIHEALTH | REGIONAL HMO | $252.30 | ↑ +581% |
| HORIZON | PPO | $255.00 | ↑ +588% |
| BEACON | ALL PRODUCTS | $262.00 | ↑ +607% |
| BERGEN RISK | ALL PRODUCTS | $291.00 | ↑ +685% |
| QUALCARE | HMO | $306.00 | ↑ +726% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $355.00 | ↑ +858% |
| UNITED HEALTHCARE | HMO | $367.00 | ↑ +890% |
| OXFORD | ALL PRODUCTS | $561.00 | ↑ +1414% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $92.40 | $33.50 – $33.50 |
| Saint Barnabas Behavioral Health Center | Toms River | $76.26 | not published |
| Childrens Specialized Hospital | Mountainside | $68.50 | $237.00 – $394.00 |
| Bayshore Medical Center | Holmdel | $37.06 | $37.06 – $447.00 |
| Hackensack University Medical Center | Hackensack | $37.06 | $29.65 – $406.00 |
| Ocean University Medical Center | Brick | $37.06 | $37.06 – $500.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $37.06 | $37.06 – $523.00 |
| Palisades Medical Center | North Bergen | $37.06 | $11.70 – $558.00 |