Psy/npsy phys/qhp 2> tst 1st 30 min at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$142.67
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.
$157.00
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.
$24.75 with HORIZON vs $549.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| HORIZON | BH | $24.75 | ↓ -83% |
| AETNA | MANAGED MEDICAID | $26.06 | ↓ -82% |
| CLOVER | MEDICARE ADVANTAGE | $28.26 | ↓ -80% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $36.27 | ↓ -75% |
| KARNA | MEDICARE ADVANTAGE | $37.70 | ↓ -74% |
| QUALCARE | HMO | $73.48 | ↓ -48% |
| QUALCARE | PPO | $73.48 | ↓ -48% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $92.47 | ↓ -35% |
| HORIZON | MANAGED MEDICAID | $108.31 | ↓ -24% |
| HORIZON | WORKERS COMP | $113.45 | ↓ -20% |
| BEACON | ALL PRODUCTS | $117.75 | ↓ -17% |
| BERGEN RISK | ALL PRODUCTS | $117.75 | ↓ -17% |
| HORIZON | PIP | $119.63 | ↓ -16% |
| AETNA | ASA | $122.93 | ↓ -14% |
| HORIZON | OMNIA | $124.56 | ↓ -13% |
| CIGNA | BH | $125.60 | ↓ -12% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $133.45 | ↓ -6% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $133.45 | ↓ -6% |
| AMERIHEALTH | LOCAL HMO | $137.16 | ↓ -4% |
| QUALCARE | WORKERS COMP | $138.16 | ↓ -3% |
| AETNA | PPO | $141.30 | ↓ -1% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $141.30 | ↓ -1% |
| AETNA | HMO | $141.30 | ↓ -1% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $142.67 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $142.67 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $142.67 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $142.67 | ↑ +0% |
| VACCN | ALL PRODUCTS | $142.67 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $149.81 | ↑ +5% |
| CIGNA | HMO | $150.14 | ↑ +5% |
| CIGNA | PPO | $150.14 | ↑ +5% |
| HORIZON | SHP | $152.40 | ↑ +7% |
| HORIZON | HMO | $153.20 | ↑ +7% |
| HORIZON | INDEMNITY | $154.88 | ↑ +9% |
| AMERIHEALTH | REGIONAL HMO | $155.34 | ↑ +9% |
| AETNA | MEDICARE ADVANTAGE | $155.51 | ↑ +9% |
| HORIZON | PPO | $157.00 | ↑ +10% |
| UNITED HEALTHCARE | DSNP | $171.21 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $426.00 | ↑ +199% |
| UNITED HEALTHCARE | HMO | $549.00 | ↑ +285% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Psy/npsy phys/qhp 2> tst 1st 30 min at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $35.28 | $21.37 – $281.74 |
| Childrens Specialized Hospital | Mountainside | $176.50 | $258.00 – $258.00 |
| Bayshore Medical Center | Holmdel | $142.67 | $142.67 – $393.00 |
| Hackensack University Medical Center | Hackensack | $151.80 | $38.70 – $1,673.00 |
| Ocean University Medical Center | Brick | $140.87 | $37.70 – $393.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.80 | $24.75 – $759.00 |
| Palisades Medical Center | North Bergen | $151.80 | $38.70 – $1,353.00 |
| Raritan Bay Medical Center | Perth Amboy | $142.80 | $38.70 – $389.00 |