St evaluation swallow function at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$91.47
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.
$869.00
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.
$60.00 with HORIZON vs $869.00 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $60.00 | ↓ -34% |
| OPTUM HEALTH | MANAGED MEDICAID | $73.18 | ↓ -20% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $91.47 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $91.47 | ↑ +0% |
| VACCN | ALL PRODUCTS | $91.47 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $96.04 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $99.70 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $109.76 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $116.02 | ↑ +27% |
| AETNA | MANAGED MEDICAID | $144.25 | ↑ +58% |
| CLOVER | MEDICARE ADVANTAGE | $156.42 | ↑ +71% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $200.74 | ↑ +119% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $201.61 | ↑ +120% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +145% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +145% |
| QUALCARE | WORKERS COMP | $278.00 | ↑ +204% |
| QUALCARE | HMO | $306.00 | ↑ +235% |
| OXFORD | ALL PRODUCTS | $326.00 | ↑ +256% |
| UNITED HEALTHCARE | HMO | $362.00 | ↑ +296% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $511.84 | ↑ +460% |
| HORIZON | WORKERS COMP | $627.94 | ↑ +586% |
| BEACON | ALL PRODUCTS | $651.75 | ↑ +613% |
| BERGEN RISK | ALL PRODUCTS | $651.75 | ↑ +613% |
| HORIZON | PIP | $662.18 | ↑ +624% |
| QUALCARE | PPO | $675.21 | ↑ +638% |
| AETNA | ASA | $680.43 | ↑ +644% |
| HORIZON | OMNIA | $689.46 | ↑ +654% |
| CIGNA | BH | $695.20 | ↑ +660% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $738.65 | ↑ +708% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $738.65 | ↑ +708% |
| AMERIHEALTH | LOCAL HMO | $759.16 | ↑ +730% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $782.10 | ↑ +755% |
| AETNA | HMO | $782.10 | ↑ +755% |
| AETNA | PPO | $782.10 | ↑ +755% |
| CIGNA | HMO | $831.02 | ↑ +809% |
| CIGNA | PPO | $831.02 | ↑ +809% |
| HORIZON | SHP | $843.54 | ↑ +822% |
| HORIZON | HMO | $847.97 | ↑ +827% |
| HORIZON | INDEMNITY | $857.27 | ↑ +837% |
| AMERIHEALTH | REGIONAL HMO | $859.79 | ↑ +840% |
| HORIZON | PPO | $869.00 | ↑ +850% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
St evaluation swallow function at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Saint Barnabas Behavioral Health Center | Toms River | $271.05 | not published |
| Childrens Specialized Hospital | Mountainside | $338.00 | $64.65 – $64.65 |
| Bayshore Medical Center | Holmdel | $91.47 | $91.47 – $614.00 |
| Hackensack University Medical Center | Hackensack | $91.47 | $54.05 – $406.00 |
| Ocean University Medical Center | Brick | $91.47 | $60.00 – $525.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $91.47 | $60.00 – $576.00 |
| Palisades Medical Center | North Bergen | $91.47 | $91.47 – $769.00 |
| Raritan Bay Medical Center | Perth Amboy | $91.47 | $90.00 – $265.00 |