Unlistd noninvas vasc dx std at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$27.11
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.
$252.00
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.
$27.11 with WELLCARE vs $14,615.00 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 |
|---|---|---|---|
| WELLCARE | MEDICARE ADVANTAGE | $27.11 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $27.11 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $27.11 | ↑ +0% |
| VACCN | ALL PRODUCTS | $27.11 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $27.11 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $28.46 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $29.55 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $32.53 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $41.83 | ↑ +54% |
| CLOVER | MEDICARE ADVANTAGE | $45.36 | ↑ +67% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $58.21 | ↑ +115% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $148.43 | ↑ +448% |
| OXFORD | ALL PRODUCTS | $171.71 | ↑ +533% |
| BEACON | ALL PRODUCTS | $189.00 | ↑ +597% |
| BERGEN RISK | ALL PRODUCTS | $189.00 | ↑ +597% |
| HORIZON | PIP | $192.02 | ↑ +608% |
| QUALCARE | PPO | $195.80 | ↑ +622% |
| AETNA | ASA | $197.32 | ↑ +628% |
| HORIZON | OMNIA | $199.94 | ↑ +638% |
| CIGNA | BH | $201.60 | ↑ +644% |
| UNITED HEALTHCARE | HMO | $214.12 | ↑ +690% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $214.20 | ↑ +690% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $214.20 | ↑ +690% |
| AMERIHEALTH | LOCAL HMO | $220.15 | ↑ +712% |
| QUALCARE | WORKERS COMP | $221.76 | ↑ +718% |
| CIGNA | PPO | $240.99 | ↑ +789% |
| CIGNA | HMO | $240.99 | ↑ +789% |
| HORIZON | SHP | $244.62 | ↑ +802% |
| HORIZON | HMO | $245.90 | ↑ +807% |
| HORIZON | INDEMNITY | $248.60 | ↑ +817% |
| AMERIHEALTH | REGIONAL HMO | $249.33 | ↑ +820% |
| HORIZON | PPO | $252.00 | ↑ +830% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↑ +6639% |
| QUALCARE | HMO | $6,256.00 | ↑ +22976% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +37388% |
| AETNA | HMO | $10,202.00 | ↑ +37532% |
| AETNA | PPO | $10,202.00 | ↑ +37532% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +53810% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Unlistd noninvas vasc dx std at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $27.11 | $27.11 – $32.53 |
| Hackensack University Medical Center | Hackensack | $28.84 | $23.07 – $34.43 |
| Ocean University Medical Center | Brick | $26.76 | $24.49 – $32.12 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $27.13 | $24.49 – $27.13 |
| Palisades Medical Center | North Bergen | $28.84 | $28.84 – $31.44 |
| Raritan Bay Medical Center | Perth Amboy | $27.13 | $27.13 – $32.56 |
| Riverview Medical Center | Red Bank | $27.11 | $27.11 – $32.53 |
| Southern Ocean Medical Center | Manahawkin | $26.76 | $26.76 – $32.12 |