Screening Mammogram at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$169.06
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.
$838.00
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.
$117.28 with AMERIHEALTH vs $838.00 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 |
|---|---|---|---|
| AMERIHEALTH | LOCAL HMO | $117.28 | ↓ -31% |
| AMERIHEALTH | REGIONAL HMO | $119.31 | ↓ -29% |
| OPTUM HEALTH | MANAGED MEDICAID | $135.25 | ↓ -20% |
| AETNA | MANAGED MEDICAID | $139.11 | ↓ -18% |
| CLOVER | MEDICARE ADVANTAGE | $150.84 | ↓ -11% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $157.87 | ↓ -7% |
| WELLCARE | MANAGED MEDICAID | $169.06 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $169.06 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $169.06 | ↑ +0% |
| VACCN | ALL PRODUCTS | $169.06 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $169.06 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $177.51 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $184.28 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $193.58 | ↑ +15% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $194.42 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $202.87 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $235.32 | ↑ +39% |
| AETNA | HMO | $290.83 | ↑ +72% |
| AETNA | PPO | $290.83 | ↑ +72% |
| UNITED HEALTHCARE | HMO | $296.96 | ↑ +76% |
| OXFORD | ALL PRODUCTS | $296.96 | ↑ +76% |
| CIGNA | PPO | $341.87 | ↑ +102% |
| CIGNA | HMO | $341.87 | ↑ +102% |
| HORIZON | WORKERS COMP | $605.54 | ↑ +258% |
| BERGEN RISK | ALL PRODUCTS | $628.50 | ↑ +272% |
| BEACON | ALL PRODUCTS | $628.50 | ↑ +272% |
| HORIZON | PIP | $638.56 | ↑ +278% |
| QUALCARE | PPO | $651.13 | ↑ +285% |
| QUALCARE | HMO | $651.13 | ↑ +285% |
| AETNA | ASA | $656.15 | ↑ +288% |
| HORIZON | OMNIA | $664.87 | ↑ +293% |
| CIGNA | BH | $670.40 | ↑ +297% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $712.30 | ↑ +321% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $712.30 | ↑ +321% |
| QUALCARE | WORKERS COMP | $737.44 | ↑ +336% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $754.20 | ↑ +346% |
| HORIZON | SHP | $813.45 | ↑ +381% |
| HORIZON | HMO | $817.72 | ↑ +384% |
| HORIZON | INDEMNITY | $826.69 | ↑ +389% |
| HORIZON | PPO | $838.00 | ↑ +396% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Screening Mammogram at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $119.00 | $66.58 – $953.13 |
| Community Medical Center | Toms River | $131.49 | $83.91 – $480.91 |
| Newark Beth Israel Medical Center | Newark | $132.06 | $68.53 – $480.91 |
| Jersey City Medical Center | Jersey City | $131.74 | $83.91 – $480.91 |
| Monmouth Medical Center | Long Branch | $138.71 | $83.91 – $480.91 |
| Bayshore Medical Center | Holmdel | $169.06 | $119.35 – $341.87 |
| Hackensack University Medical Center | Hackensack | $169.06 | $98.12 – $335.01 |
| Ocean University Medical Center | Brick | $169.06 | $119.35 – $341.87 |