Tomosynthesis breast diagnostic left at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$53.92
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.
?
What you pay up front if you don't use insurance.
$248.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$19.55 with AMERIHEALTH vs $248.00 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| AMERIHEALTH | LOCAL HMO | $19.55 | ↓ -64% |
| AMERIHEALTH | REGIONAL HMO | $19.89 | ↓ -63% |
| AETNA | MANAGED MEDICAID | $41.17 | ↓ -24% |
| OPTUM HEALTH | MANAGED MEDICAID | $43.14 | ↓ -20% |
| CLOVER | MEDICARE ADVANTAGE | $44.64 | ↓ -17% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $47.76 | ↓ -11% |
| WELLCARE | MANAGED MEDICAID | $53.92 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $53.92 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $53.92 | ↑ +0% |
| VACCN | ALL PRODUCTS | $53.92 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $53.92 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $56.62 | ↑ +5% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $57.29 | ↑ +6% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $57.54 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $58.77 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $64.70 | ↑ +20% |
| AETNA | HMO | $73.77 | ↑ +37% |
| AETNA | PPO | $73.77 | ↑ +37% |
| OXFORD | ALL PRODUCTS | $78.26 | ↑ +45% |
| UNITED HEALTHCARE | HMO | $78.26 | ↑ +45% |
| KARNA | MEDICARE ADVANTAGE | $83.35 | ↑ +55% |
| CIGNA | PPO | $94.73 | ↑ +76% |
| CIGNA | HMO | $94.73 | ↑ +76% |
| HORIZON | WORKERS COMP | $179.20 | ↑ +232% |
| BERGEN RISK | ALL PRODUCTS | $186.00 | ↑ +245% |
| BEACON | ALL PRODUCTS | $186.00 | ↑ +245% |
| HORIZON | PIP | $188.98 | ↑ +250% |
| QUALCARE | PPO | $192.70 | ↑ +257% |
| QUALCARE | HMO | $192.70 | ↑ +257% |
| AETNA | ASA | $194.18 | ↑ +260% |
| HORIZON | OMNIA | $196.76 | ↑ +265% |
| CIGNA | BH | $198.40 | ↑ +268% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $210.80 | ↑ +291% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $210.80 | ↑ +291% |
| QUALCARE | WORKERS COMP | $218.24 | ↑ +305% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $223.20 | ↑ +314% |
| HORIZON | SHP | $240.73 | ↑ +346% |
| HORIZON | HMO | $242.00 | ↑ +349% |
| HORIZON | INDEMNITY | $244.65 | ↑ +354% |
| HORIZON | PPO | $248.00 | ↑ +360% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Tomosynthesis breast diagnostic left at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $95.72 | $18.87 – $161.81 |
| Community Medical Center | Toms River | $105.77 | $13.99 – $100.73 |
| Newark Beth Israel Medical Center | Newark | $106.23 | $13.99 – $100.73 |
| Jersey City Medical Center | Jersey City | $105.97 | $13.99 – $100.73 |
| Monmouth Medical Center | Long Branch | $111.58 | $13.99 – $100.73 |
| Bayshore Medical Center | Holmdel | $53.92 | $19.89 – $94.73 |
| Hackensack University Medical Center | Hackensack | $53.92 | $19.94 – $92.83 |
| Ocean University Medical Center | Brick | $53.92 | $19.89 – $94.73 |