Screen pap by tech w md supv at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$18.19
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.
$301.00
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.
$14.55 with OPTUM HEALTH vs $301.00 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 |
|---|---|---|---|
| OPTUM HEALTH | MANAGED MEDICAID | $14.55 | ↓ -20% |
| AMERIGROUP | MANAGED MEDICAID | $18.19 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $18.19 | ↑ +0% |
| VACCN | ALL PRODUCTS | $18.19 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $18.19 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $18.19 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $18.19 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $18.19 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $19.10 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $19.83 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $21.83 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $23.13 | ↑ +27% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $23.19 | ↑ +27% |
| OXFORD | ALL PRODUCTS | $33.86 | ↑ +86% |
| UNITED HEALTHCARE | HMO | $33.86 | ↑ +86% |
| AETNA | MANAGED MEDICAID | $49.97 | ↑ +175% |
| CIGNA | PPO | $69.42 | ↑ +282% |
| CIGNA | HMO | $69.42 | ↑ +282% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $69.83 | ↑ +284% |
| QUALCARE | HMO | $174.88 | ↑ +861% |
| AETNA | PPO | $210.70 | ↑ +1058% |
| AETNA | HMO | $210.70 | ↑ +1058% |
| HORIZON | WORKERS COMP | $217.50 | ↑ +1096% |
| BERGEN RISK | ALL PRODUCTS | $225.75 | ↑ +1141% |
| BEACON | ALL PRODUCTS | $225.75 | ↑ +1141% |
| HORIZON | PIP | $229.36 | ↑ +1161% |
| QUALCARE | PPO | $233.88 | ↑ +1186% |
| AETNA | ASA | $235.68 | ↑ +1196% |
| HORIZON | OMNIA | $238.81 | ↑ +1213% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $240.80 | ↑ +1224% |
| CIGNA | BH | $240.80 | ↑ +1224% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $255.85 | ↑ +1307% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $255.85 | ↑ +1307% |
| AMERIHEALTH | LOCAL HMO | $262.95 | ↑ +1346% |
| QUALCARE | WORKERS COMP | $264.88 | ↑ +1356% |
| HORIZON | SHP | $292.18 | ↑ +1506% |
| HORIZON | HMO | $293.72 | ↑ +1515% |
| HORIZON | INDEMNITY | $296.94 | ↑ +1532% |
| AMERIHEALTH | REGIONAL HMO | $297.81 | ↑ +1537% |
| HORIZON | PPO | $301.00 | ↑ +1555% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Screen pap by tech w md supv at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $19.54 | $6.12 – $72.09 |
| Cooperman Barnabas Medical Center | Livingston | $19.54 | $8.14 – $72.09 |
| Community Medical Center | Toms River | $19.54 | $8.14 – $72.09 |
| Clara Maass Medical Center | Belleville | $19.54 | $8.14 – $72.09 |
| Newark Beth Israel Medical Center | Newark | $19.54 | $8.14 – $72.09 |
| Jersey City Medical Center | Jersey City | $19.54 | $7.92 – $72.09 |
| Monmouth Medical Center | Long Branch | $19.54 | $8.14 – $72.09 |
| Bayshore Medical Center | Holmdel | $18.19 | $18.19 – $69.42 |