Radphm lcl tomogr sgl area sgl day at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$1,444.98
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.
$4,620.00
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.
$490.97 with UNITED HEALTHCARE vs $4,620.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $490.97 | ↓ -66% |
| AMERIHEALTH | LOCAL HMO | $578.60 | ↓ -60% |
| AMERIHEALTH | REGIONAL HMO | $588.60 | ↓ -59% |
| KARNA | MEDICARE ADVANTAGE | $642.12 | ↓ -56% |
| AETNA | MANAGED MEDICAID | $766.92 | ↓ -47% |
| CLOVER | MEDICARE ADVANTAGE | $831.60 | ↓ -42% |
| AETNA | HMO | $883.75 | ↓ -39% |
| AETNA | PPO | $883.75 | ↓ -39% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,067.22 | ↓ -26% |
| CIGNA | PPO | $1,222.77 | ↓ -15% |
| CIGNA | HMO | $1,222.77 | ↓ -15% |
| VACCN | ALL PRODUCTS | $1,444.98 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,444.98 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,444.98 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,444.98 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $1,444.98 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,517.23 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,575.03 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,733.98 | ↑ +20% |
| HORIZON | WORKERS COMP | $3,338.41 | ↑ +131% |
| BEACON | ALL PRODUCTS | $3,465.00 | ↑ +140% |
| BERGEN RISK | ALL PRODUCTS | $3,465.00 | ↑ +140% |
| HORIZON | PIP | $3,520.44 | ↑ +144% |
| QUALCARE | HMO | $3,589.74 | ↑ +148% |
| QUALCARE | PPO | $3,589.74 | ↑ +148% |
| AETNA | ASA | $3,617.46 | ↑ +150% |
| HORIZON | OMNIA | $3,665.51 | ↑ +154% |
| CIGNA | BH | $3,696.00 | ↑ +156% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,927.00 | ↑ +172% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,927.00 | ↑ +172% |
| UNITED HEALTHCARE | HMO | $4,012.50 | ↑ +178% |
| OXFORD | ALL PRODUCTS | $4,012.50 | ↑ +178% |
| QUALCARE | WORKERS COMP | $4,065.60 | ↑ +181% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $4,158.00 | ↑ +188% |
| HORIZON | SHP | $4,484.63 | ↑ +210% |
| HORIZON | HMO | $4,508.20 | ↑ +212% |
| HORIZON | INDEMNITY | $4,557.63 | ↑ +215% |
| HORIZON | PPO | $4,620.00 | ↑ +220% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
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Radphm lcl tomogr sgl area sgl day at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $785.33 | $181.67 – $2,853.46 |
| Cooperman Barnabas Medical Center | Livingston | $659.85 | $156.13 – $2,929.28 |
| Community Medical Center | Toms River | $867.76 | $156.13 – $2,839.19 |
| Clara Maass Medical Center | Belleville | $588.54 | $156.13 – $2,914.63 |
| Newark Beth Israel Medical Center | Newark | $648.64 | $156.13 – $2,929.28 |
| Jersey City Medical Center | Jersey City | $869.43 | $156.13 – $3,059.45 |
| Monmouth Medical Center | Long Branch | $915.45 | $156.13 – $2,875.51 |
| Bayshore Medical Center | Holmdel | $1,444.98 | $490.97 – $3,535.83 |