Quant diff pulm perf and vent w/imaging at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$595.79
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.
$2,708.00
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.
$449.53 with AETNA vs $2,708.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $449.53 | ↓ -25% |
| CLOVER | MEDICARE ADVANTAGE | $487.44 | ↓ -18% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $490.01 | ↓ -18% |
| KARNA | MEDICARE ADVANTAGE | $509.06 | ↓ -15% |
| VACCN | ALL PRODUCTS | $595.79 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $595.79 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $595.79 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $595.79 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $595.79 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $625.55 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $625.58 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $649.41 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $714.95 | ↑ +20% |
| AETNA | HMO | $806.86 | ↑ +35% |
| AETNA | PPO | $806.86 | ↑ +35% |
| CIGNA | PPO | $959.94 | ↑ +61% |
| CIGNA | HMO | $959.94 | ↑ +61% |
| AMERIHEALTH | LOCAL HMO | $999.85 | ↑ +68% |
| AMERIHEALTH | REGIONAL HMO | $1,017.13 | ↑ +71% |
| UNITED HEALTHCARE | HMO | $1,503.68 | ↑ +152% |
| OXFORD | ALL PRODUCTS | $1,503.68 | ↑ +152% |
| HORIZON | WORKERS COMP | $1,956.80 | ↑ +228% |
| BEACON | ALL PRODUCTS | $2,031.00 | ↑ +241% |
| BERGEN RISK | ALL PRODUCTS | $2,031.00 | ↑ +241% |
| HORIZON | PIP | $2,063.50 | ↑ +246% |
| QUALCARE | PPO | $2,104.12 | ↑ +253% |
| QUALCARE | HMO | $2,104.12 | ↑ +253% |
| AETNA | ASA | $2,120.36 | ↑ +256% |
| HORIZON | OMNIA | $2,148.53 | ↑ +261% |
| CIGNA | BH | $2,166.40 | ↑ +264% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,301.80 | ↑ +286% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,301.80 | ↑ +286% |
| QUALCARE | WORKERS COMP | $2,383.04 | ↑ +300% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,437.20 | ↑ +309% |
| HORIZON | SHP | $2,628.66 | ↑ +341% |
| HORIZON | HMO | $2,642.47 | ↑ +344% |
| HORIZON | INDEMNITY | $2,671.44 | ↑ +348% |
| HORIZON | PPO | $2,708.00 | ↑ +355% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Quant diff pulm perf and vent w/imaging at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $505.66 | $144.02 – $1,235.64 |
| Cooperman Barnabas Medical Center | Livingston | $536.95 | $221.15 – $1,235.64 |
| Community Medical Center | Toms River | $558.73 | $221.15 – $1,235.64 |
| Clara Maass Medical Center | Belleville | $267.32 | $221.15 – $1,235.64 |
| Newark Beth Israel Medical Center | Newark | $527.83 | $148.26 – $1,235.64 |
| Jersey City Medical Center | Jersey City | $559.81 | $186.38 – $1,261.46 |
| Monmouth Medical Center | Long Branch | $589.44 | $221.15 – $1,235.64 |
| Bayshore Medical Center | Holmdel | $595.79 | $490.01 – $1,325.05 |