Ph1 assmt&mgmt nqhp 5-10 at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$15.47
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.
$428.00
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.
$12.38 with OPTUM HEALTH vs $428.00 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 |
|---|---|---|---|
| OPTUM HEALTH | MANAGED MEDICAID | $12.38 | ↓ -20% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $15.47 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $15.47 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $15.47 | ↑ +0% |
| VACCN | ALL PRODUCTS | $15.47 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $15.47 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $16.24 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $16.86 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $18.56 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $18.65 | ↑ +21% |
| AETNA | MANAGED MEDICAID | $71.05 | ↑ +359% |
| CLOVER | MEDICARE ADVANTAGE | $77.04 | ↑ +398% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $98.87 | ↑ +539% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $99.30 | ↑ +542% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $252.09 | ↑ +1530% |
| OXFORD | ALL PRODUCTS | $291.64 | ↑ +1785% |
| HORIZON | MANAGED MEDICAID | $295.28 | ↑ +1809% |
| HORIZON | WORKERS COMP | $309.27 | ↑ +1899% |
| BEACON | ALL PRODUCTS | $321.00 | ↑ +1975% |
| BERGEN RISK | ALL PRODUCTS | $321.00 | ↑ +1975% |
| HORIZON | PIP | $326.14 | ↑ +2008% |
| QUALCARE | PPO | $332.56 | ↑ +2050% |
| QUALCARE | HMO | $332.56 | ↑ +2050% |
| AETNA | ASA | $335.12 | ↑ +2066% |
| HORIZON | OMNIA | $339.58 | ↑ +2095% |
| CIGNA | BH | $342.40 | ↑ +2113% |
| UNITED HEALTHCARE | HMO | $363.67 | ↑ +2251% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $363.80 | ↑ +2252% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $363.80 | ↑ +2252% |
| AMERIHEALTH | LOCAL HMO | $373.90 | ↑ +2317% |
| QUALCARE | WORKERS COMP | $376.64 | ↑ +2335% |
| AETNA | HMO | $385.20 | ↑ +2390% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $385.20 | ↑ +2390% |
| AETNA | PPO | $385.20 | ↑ +2390% |
| CIGNA | HMO | $409.30 | ↑ +2546% |
| CIGNA | PPO | $409.30 | ↑ +2546% |
| HORIZON | SHP | $415.46 | ↑ +2586% |
| HORIZON | HMO | $417.64 | ↑ +2600% |
| HORIZON | INDEMNITY | $422.22 | ↑ +2629% |
| AMERIHEALTH | REGIONAL HMO | $423.46 | ↑ +2637% |
| HORIZON | PPO | $428.00 | ↑ +2667% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ph1 assmt&mgmt nqhp 5-10 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $15.47 | $15.47 – $18.56 |
| Hackensack University Medical Center | Hackensack | $15.47 | $12.38 – $19.19 |
| Ocean University Medical Center | Brick | $15.47 | $15.47 – $18.65 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $15.47 | $15.47 – $19.19 |
| Palisades Medical Center | North Bergen | $15.47 | $15.47 – $19.19 |
| Raritan Bay Medical Center | Perth Amboy | $15.47 | $15.47 – $19.19 |
| Riverview Medical Center | Red Bank | $15.47 | $15.47 – $18.65 |
| Southern Ocean Medical Center | Manahawkin | $15.47 | $15.47 – $18.65 |