Radphm lcl tumor plr sgl day at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$444.77
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.
$3,035.00
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.
$254.75 with UNITED HEALTHCARE vs $3,035.00 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 | $254.75 | ↓ -43% |
| AMERIHEALTH | LOCAL HMO | $338.17 | ↓ -24% |
| AMERIHEALTH | REGIONAL HMO | $344.01 | ↓ -23% |
| KARNA | MEDICARE ADVANTAGE | $429.77 | ↓ -3% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $444.77 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $444.77 | ↑ +0% |
| VACCN | ALL PRODUCTS | $444.77 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $444.77 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $444.77 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $467.01 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $484.80 | ↑ +9% |
| AETNA | PPO | $484.87 | ↑ +9% |
| AETNA | HMO | $484.87 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $503.81 | ↑ +13% |
| UNITED HEALTHCARE | DSNP | $533.72 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $546.30 | ↑ +23% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $701.09 | ↑ +58% |
| CIGNA | HMO | $816.70 | ↑ +84% |
| CIGNA | PPO | $816.70 | ↑ +84% |
| UNITED HEALTHCARE | HMO | $1,158.70 | ↑ +161% |
| OXFORD | ALL PRODUCTS | $1,158.70 | ↑ +161% |
| HORIZON | WORKERS COMP | $2,193.09 | ↑ +393% |
| BEACON | ALL PRODUCTS | $2,276.25 | ↑ +412% |
| BERGEN RISK | ALL PRODUCTS | $2,276.25 | ↑ +412% |
| HORIZON | PIP | $2,312.67 | ↑ +420% |
| QUALCARE | PPO | $2,358.20 | ↑ +430% |
| QUALCARE | HMO | $2,358.20 | ↑ +430% |
| AETNA | ASA | $2,376.41 | ↑ +434% |
| HORIZON | OMNIA | $2,407.97 | ↑ +441% |
| CIGNA | BH | $2,428.00 | ↑ +446% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,579.75 | ↑ +480% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,579.75 | ↑ +480% |
| QUALCARE | WORKERS COMP | $2,670.80 | ↑ +500% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,731.50 | ↑ +514% |
| HORIZON | SHP | $2,946.07 | ↑ +562% |
| HORIZON | HMO | $2,961.55 | ↑ +566% |
| HORIZON | INDEMNITY | $2,994.03 | ↑ +573% |
| HORIZON | PPO | $3,035.00 | ↑ +582% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Radphm lcl tumor plr sgl day at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $433.02 | $121.59 – $1,051.73 |
| Cooperman Barnabas Medical Center | Livingston | $451.77 | $224.68 – $1,051.73 |
| Community Medical Center | Toms River | $478.47 | $224.68 – $1,051.73 |
| Clara Maass Medical Center | Belleville | $273.08 | $224.68 – $1,051.73 |
| Newark Beth Israel Medical Center | Newark | $444.09 | $125.17 – $1,051.73 |
| Jersey City Medical Center | Jersey City | $479.39 | $157.36 – $1,051.73 |
| Monmouth Medical Center | Long Branch | $504.77 | $224.68 – $1,051.73 |
| Bayshore Medical Center | Holmdel | $444.77 | $254.75 – $1,021.05 |