Special radiation treatment at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$640.29
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.
$5,830.00
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.
$256.69 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $256.69 | ↓ -60% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $640.29 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $640.29 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $640.29 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $640.29 | ↑ +0% |
| VACCN | ALL PRODUCTS | $640.29 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $672.30 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $697.91 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $768.34 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $967.78 | ↑ +51% |
| CLOVER | MEDICARE ADVANTAGE | $1,049.40 | ↑ +64% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,346.73 | ↑ +110% |
| AMERIHEALTH | LOCAL HMO | $1,695.95 | ↑ +165% |
| AMERIHEALTH | REGIONAL HMO | $1,855.11 | ↑ +190% |
| OXFORD | ALL PRODUCTS | $2,789.00 | ↑ +336% |
| UNITED HEALTHCARE | HMO | $2,869.00 | ↑ +348% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,089.90 | ↑ +383% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $3,433.87 | ↑ +436% |
| CIGNA | PPO | $3,968.46 | ↑ +520% |
| CIGNA | HMO | $3,968.46 | ↑ +520% |
| HORIZON | WORKERS COMP | $4,212.76 | ↑ +558% |
| BEACON | ALL PRODUCTS | $4,372.50 | ↑ +583% |
| BERGEN RISK | ALL PRODUCTS | $4,372.50 | ↑ +583% |
| HORIZON | PIP | $4,442.46 | ↑ +594% |
| QUALCARE | WORKERS COMP | $4,529.91 | ↑ +607% |
| AETNA | ASA | $4,564.89 | ↑ +613% |
| HORIZON | OMNIA | $4,625.52 | ↑ +622% |
| CIGNA | BH | $4,664.00 | ↑ +628% |
| AETNA | HMO | $4,935.68 | ↑ +671% |
| AETNA | PPO | $4,935.68 | ↑ +671% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,955.50 | ↑ +674% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,955.50 | ↑ +674% |
| HORIZON | SHP | $5,659.18 | ↑ +784% |
| HORIZON | HMO | $5,688.91 | ↑ +788% |
| HORIZON | INDEMNITY | $5,751.30 | ↑ +798% |
| HORIZON | PPO | $5,830.00 | ↑ +811% |
| QUALCARE | HMO | $21,431.00 | ↑ +3247% |
| QUALCARE | PPO | $22,558.00 | ↑ +3423% |
| 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
Special radiation treatment at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,208.60 | $72.62 – $1,388.05 |
| Cooperman Barnabas Medical Center | Livingston | $1,372.68 | $109.00 – $1,298.00 |
| Community Medical Center | Toms River | $1,335.44 | $100.00 – $1,258.08 |
| Clara Maass Medical Center | Belleville | $1,228.60 | $109.00 – $1,291.51 |
| Newark Beth Israel Medical Center | Newark | $1,349.36 | $74.76 – $1,298.00 |
| Jersey City Medical Center | Jersey City | $1,338.02 | $93.98 – $1,355.67 |
| Monmouth Medical Center | Long Branch | $1,408.85 | $103.00 – $1,274.18 |
| Bayshore Medical Center | Holmdel | $640.29 | $640.29 – $21,431.00 |