Venogram extremity supervision & interpretation unilateral at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$1,719.44
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.
$3,630.00
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.
$71.75 with UNITED HEALTHCARE vs $3,630.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $71.75 | ↓ -96% |
| KARNA | MEDICARE ADVANTAGE | $196.37 | ↓ -89% |
| AETNA | HMO | $235.74 | ↓ -86% |
| AETNA | PPO | $235.74 | ↓ -86% |
| CIGNA | HMO | $243.08 | ↓ -86% |
| CIGNA | PPO | $243.08 | ↓ -86% |
| AETNA | MANAGED MEDICAID | $602.58 | ↓ -65% |
| CLOVER | MEDICARE ADVANTAGE | $653.40 | ↓ -62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $838.53 | ↓ -51% |
| WELLCARE | MANAGED MEDICAID | $1,719.44 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,719.44 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,719.44 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $1,719.44 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,719.44 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,805.41 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,874.19 | ↑ +9% |
| OXFORD | ALL PRODUCTS | $2,050.95 | ↑ +19% |
| UNITED HEALTHCARE | HMO | $2,050.95 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $2,063.33 | ↑ +20% |
| QUALCARE | HMO | $2,109.03 | ↑ +23% |
| HORIZON | WORKERS COMP | $2,623.04 | ↑ +53% |
| BEACON | ALL PRODUCTS | $2,722.50 | ↑ +58% |
| BERGEN RISK | ALL PRODUCTS | $2,722.50 | ↑ +58% |
| HORIZON | PIP | $2,766.06 | ↑ +61% |
| QUALCARE | PPO | $2,820.51 | ↑ +64% |
| AETNA | ASA | $2,842.29 | ↑ +65% |
| HORIZON | OMNIA | $2,880.04 | ↑ +67% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,904.00 | ↑ +69% |
| CIGNA | BH | $2,904.00 | ↑ +69% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,085.50 | ↑ +79% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,085.50 | ↑ +79% |
| AMERIHEALTH | LOCAL HMO | $3,171.17 | ↑ +84% |
| QUALCARE | WORKERS COMP | $3,194.40 | ↑ +86% |
| HORIZON | SHP | $3,523.64 | ↑ +105% |
| HORIZON | HMO | $3,542.15 | ↑ +106% |
| HORIZON | INDEMNITY | $3,581.00 | ↑ +108% |
| AMERIHEALTH | REGIONAL HMO | $3,591.52 | ↑ +109% |
| HORIZON | PPO | $3,630.00 | ↑ +111% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Venogram extremity supervision & interpretation unilateral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,719.44 | $71.75 – $3,807.12 |
| Hackensack University Medical Center | Hackensack | $1,829.42 | $93.13 – $4,348.49 |
| Ocean University Medical Center | Brick | $1,697.72 | $71.75 – $1,697.72 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,720.93 | $205.21 – $4,032.11 |
| Palisades Medical Center | North Bergen | $1,829.42 | $102.73 – $3,807.12 |
| Raritan Bay Medical Center | Perth Amboy | $1,720.93 | $71.75 – $3,807.12 |
| Riverview Medical Center | Red Bank | $1,719.44 | $71.75 – $3,807.12 |
| Southern Ocean Medical Center | Manahawkin | $1,697.72 | $71.75 – $1,782.61 |