Radiation physics consult at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$146.96
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.
$1,690.00
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.
$146.96 with HORIZON BCBS BRAVEN vs $22,558.00 with QUALCARE — 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 BCBS BRAVEN | MEDICARE ADVANTAGE | $146.96 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $146.96 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $146.96 | ↑ +0% |
| VACCN | ALL PRODUCTS | $146.96 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $146.96 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $154.31 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $160.18 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $165.42 | ↑ +13% |
| UNITED HEALTHCARE | DSNP | $176.35 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $280.54 | ↑ +91% |
| CLOVER | MEDICARE ADVANTAGE | $304.20 | ↑ +107% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $390.39 | ↑ +166% |
| AMERIHEALTH | LOCAL HMO | $491.62 | ↑ +235% |
| AMERIHEALTH | REGIONAL HMO | $537.76 | ↑ +266% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $895.70 | ↑ +509% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $995.41 | ↑ +577% |
| HORIZON | WORKERS COMP | $1,221.19 | ↑ +731% |
| BEACON | ALL PRODUCTS | $1,267.50 | ↑ +762% |
| BERGEN RISK | ALL PRODUCTS | $1,267.50 | ↑ +762% |
| HORIZON | PIP | $1,287.78 | ↑ +776% |
| QUALCARE | WORKERS COMP | $1,313.13 | ↑ +794% |
| AETNA | ASA | $1,323.27 | ↑ +800% |
| CIGNA | HMO | $1,337.44 | ↑ +810% |
| CIGNA | PPO | $1,337.44 | ↑ +810% |
| HORIZON | OMNIA | $1,340.85 | ↑ +812% |
| CIGNA | BH | $1,352.00 | ↑ +820% |
| AETNA | HMO | $1,430.75 | ↑ +874% |
| AETNA | PPO | $1,430.75 | ↑ +874% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,436.50 | ↑ +877% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,436.50 | ↑ +877% |
| HORIZON | SHP | $1,640.48 | ↑ +1016% |
| HORIZON | HMO | $1,649.10 | ↑ +1022% |
| HORIZON | INDEMNITY | $1,667.19 | ↑ +1034% |
| HORIZON | PPO | $1,690.00 | ↑ +1050% |
| OXFORD | ALL PRODUCTS | $2,789.00 | ↑ +1798% |
| UNITED HEALTHCARE | HMO | $2,869.00 | ↑ +1852% |
| QUALCARE | HMO | $21,431.00 | ↑ +14483% |
| QUALCARE | PPO | $22,558.00 | ↑ +15250% |
| 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
Radiation physics consult at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $310.83 | $46.81 – $677.71 |
| Cooperman Barnabas Medical Center | Livingston | $355.78 | $86.36 – $297.92 |
| Community Medical Center | Toms River | $343.45 | $86.36 – $288.75 |
| Clara Maass Medical Center | Belleville | $324.40 | $86.36 – $296.43 |
| Newark Beth Israel Medical Center | Newark | $349.73 | $48.18 – $297.92 |
| Jersey City Medical Center | Jersey City | $344.11 | $60.57 – $311.16 |
| Monmouth Medical Center | Long Branch | $362.33 | $86.36 – $292.45 |
| Bayshore Medical Center | Holmdel | $146.96 | $146.96 – $21,431.00 |