Therapy nutrition individual initial f2f w/patient each 15 minutes at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$40.94
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.
$147.00
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.
$24.40 with AETNA vs $676.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $24.40 | ↓ -40% |
| CLOVER | MEDICARE ADVANTAGE | $26.46 | ↓ -35% |
| OPTUM HEALTH | MANAGED MEDICAID | $32.75 | ↓ -20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $33.96 | ↓ -17% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $34.10 | ↓ -17% |
| AMERIGROUP | MANAGED MEDICAID | $40.94 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $40.94 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $40.94 | ↑ +0% |
| VACCN | ALL PRODUCTS | $40.94 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $40.94 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $42.99 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $44.62 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $49.13 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $52.27 | ↑ +28% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $86.58 | ↑ +111% |
| HORIZON | MANAGED MEDICAID | $101.42 | ↑ +148% |
| HORIZON | WORKERS COMP | $106.22 | ↑ +159% |
| BERGEN RISK | ALL PRODUCTS | $110.25 | ↑ +169% |
| BEACON | ALL PRODUCTS | $110.25 | ↑ +169% |
| HORIZON | PIP | $112.01 | ↑ +174% |
| QUALCARE | HMO | $114.22 | ↑ +179% |
| QUALCARE | PPO | $114.22 | ↑ +179% |
| AETNA | ASA | $115.10 | ↑ +181% |
| HORIZON | OMNIA | $116.63 | ↑ +185% |
| CIGNA | BH | $117.60 | ↑ +187% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $124.95 | ↑ +205% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $124.95 | ↑ +205% |
| QUALCARE | WORKERS COMP | $129.36 | ↑ +216% |
| AETNA | HMO | $132.30 | ↑ +223% |
| AETNA | PPO | $132.30 | ↑ +223% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $132.30 | ↑ +223% |
| CIGNA | PPO | $140.58 | ↑ +243% |
| CIGNA | HMO | $140.58 | ↑ +243% |
| HORIZON | SHP | $142.69 | ↑ +249% |
| HORIZON | HMO | $143.44 | ↑ +250% |
| HORIZON | INDEMNITY | $145.02 | ↑ +254% |
| HORIZON | PPO | $147.00 | ↑ +259% |
| OXFORD | ALL PRODUCTS | $327.00 | ↑ +699% |
| AMERIHEALTH | LOCAL HMO | $443.00 | ↑ +982% |
| AMERIHEALTH | REGIONAL HMO | $502.00 | ↑ +1126% |
| UNITED HEALTHCARE | HMO | $676.00 | ↑ +1551% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Therapy nutrition individual initial f2f w/patient each 15 minutes at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $39.22 | $26.01 – $197.00 |
| Cooperman Barnabas Medical Center | Livingston | $44.28 | $36.52 – $197.00 |
| Community Medical Center | Toms River | $43.34 | $37.40 – $197.00 |
| Clara Maass Medical Center | Belleville | $32.81 | $36.08 – $197.00 |
| Childrens Specialized Hospital | Mountainside | $62.50 | $31.05 – $394.00 |
| Newark Beth Israel Medical Center | Newark | $43.53 | $26.78 – $66.22 |
| Jersey City Medical Center | Jersey City | $43.43 | $33.66 – $197.00 |
| Monmouth Medical Center | Long Branch | $45.72 | $72.16 – $197.00 |