St treatment speech individual at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$98.27
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.
$444.00
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 $444.00 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 | ↓ -39% |
| AETNA | MANAGED MEDICAID | $73.70 | ↓ -25% |
| OPTUM HEALTH | MANAGED MEDICAID | $78.62 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $79.92 | ↓ -19% |
| VACCN | ALL PRODUCTS | $98.27 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $98.27 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $98.27 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $102.56 | ↑ +4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $103.01 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $103.18 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $107.11 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $117.92 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $126.93 | ↑ +29% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +128% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +128% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $261.52 | ↑ +166% |
| QUALCARE | WORKERS COMP | $278.00 | ↑ +183% |
| QUALCARE | HMO | $306.00 | ↑ +211% |
| HORIZON | WORKERS COMP | $320.83 | ↑ +226% |
| OXFORD | ALL PRODUCTS | $326.00 | ↑ +232% |
| AETNA | PPO | $326.34 | ↑ +232% |
| AETNA | HMO | $326.34 | ↑ +232% |
| BERGEN RISK | ALL PRODUCTS | $333.00 | ↑ +239% |
| BEACON | ALL PRODUCTS | $333.00 | ↑ +239% |
| HORIZON | PIP | $338.33 | ↑ +244% |
| QUALCARE | PPO | $344.99 | ↑ +251% |
| AETNA | ASA | $347.65 | ↑ +254% |
| HORIZON | OMNIA | $352.27 | ↑ +258% |
| CIGNA | BH | $355.20 | ↑ +261% |
| UNITED HEALTHCARE | HMO | $362.00 | ↑ +268% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $377.40 | ↑ +284% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $377.40 | ↑ +284% |
| AMERIHEALTH | LOCAL HMO | $387.88 | ↑ +295% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $399.60 | ↑ +307% |
| CIGNA | HMO | $424.60 | ↑ +332% |
| CIGNA | PPO | $424.60 | ↑ +332% |
| HORIZON | SHP | $430.99 | ↑ +339% |
| HORIZON | HMO | $433.26 | ↑ +341% |
| HORIZON | INDEMNITY | $438.01 | ↑ +346% |
| AMERIHEALTH | REGIONAL HMO | $439.29 | ↑ +347% |
| HORIZON | PPO | $444.00 | ↑ +352% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
St treatment speech individual at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $250.50 | $237.00 – $394.00 |
| Bayshore Medical Center | Holmdel | $98.27 | $98.27 – $614.00 |
| Hackensack University Medical Center | Hackensack | $98.27 | $54.05 – $406.00 |
| Ocean University Medical Center | Brick | $98.27 | $60.00 – $413.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $98.27 | $60.00 – $576.00 |
| Palisades Medical Center | North Bergen | $98.27 | $19.31 – $769.00 |
| Raritan Bay Medical Center | Perth Amboy | $98.27 | $90.00 – $265.00 |
| Riverview Medical Center | Red Bank | $98.27 | $98.27 – $301.00 |