St treatment swallow dysfunction/oral at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$107.20
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.
$392.00
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 $392.00 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 | ↓ -44% |
| AETNA | MANAGED MEDICAID | $65.07 | ↓ -39% |
| CLOVER | MEDICARE ADVANTAGE | $70.56 | ↓ -34% |
| OPTUM HEALTH | MANAGED MEDICAID | $85.76 | ↓ -20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $90.55 | ↓ -16% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $90.94 | ↓ -15% |
| AMERIGROUP | MANAGED MEDICAID | $107.20 | ↑ +0% |
| VACCN | ALL PRODUCTS | $107.20 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $107.20 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $112.56 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $116.85 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $128.64 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $141.13 | ↑ +32% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +109% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +109% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $230.89 | ↑ +115% |
| QUALCARE | WORKERS COMP | $278.00 | ↑ +159% |
| HORIZON | WORKERS COMP | $283.26 | ↑ +164% |
| BEACON | ALL PRODUCTS | $294.00 | ↑ +174% |
| BERGEN RISK | ALL PRODUCTS | $294.00 | ↑ +174% |
| HORIZON | PIP | $298.70 | ↑ +179% |
| QUALCARE | PPO | $304.58 | ↑ +184% |
| QUALCARE | HMO | $306.00 | ↑ +185% |
| AETNA | ASA | $306.94 | ↑ +186% |
| HORIZON | OMNIA | $311.01 | ↑ +190% |
| CIGNA | BH | $313.60 | ↑ +193% |
| OXFORD | ALL PRODUCTS | $326.00 | ↑ +204% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $333.20 | ↑ +211% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $333.20 | ↑ +211% |
| AMERIHEALTH | LOCAL HMO | $342.45 | ↑ +219% |
| AETNA | HMO | $352.80 | ↑ +229% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $352.80 | ↑ +229% |
| AETNA | PPO | $352.80 | ↑ +229% |
| UNITED HEALTHCARE | HMO | $362.00 | ↑ +238% |
| CIGNA | HMO | $374.87 | ↑ +250% |
| CIGNA | PPO | $374.87 | ↑ +250% |
| HORIZON | SHP | $380.51 | ↑ +255% |
| HORIZON | HMO | $382.51 | ↑ +257% |
| HORIZON | INDEMNITY | $386.71 | ↑ +261% |
| AMERIHEALTH | REGIONAL HMO | $387.84 | ↑ +262% |
| HORIZON | PPO | $392.00 | ↑ +266% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
St treatment swallow dysfunction/oral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $107.20 | $107.20 – $614.00 |
| Hackensack University Medical Center | Hackensack | $107.20 | $54.05 – $406.00 |
| Ocean University Medical Center | Brick | $107.20 | $60.00 – $413.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $107.20 | $60.00 – $576.00 |
| Palisades Medical Center | North Bergen | $107.20 | $107.20 – $769.00 |
| Raritan Bay Medical Center | Perth Amboy | $107.20 | $90.00 – $265.00 |
| Riverview Medical Center | Red Bank | $107.20 | $107.20 – $301.00 |
| Southern Ocean Medical Center | Manahawkin | $107.20 | $107.20 – $332.00 |