Vital capacity test at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$173.18
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.
$250.00
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.
$41.50 with AETNA vs $836.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $41.50 | ↓ -76% |
| KARNA | MEDICARE ADVANTAGE | $43.31 | ↓ -75% |
| CLOVER | MEDICARE ADVANTAGE | $45.00 | ↓ -74% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $57.75 | ↓ -67% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $147.25 | ↓ -15% |
| HORIZON | MANAGED MEDICAID | $172.48 | ↓ -0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| VACCN | ALL PRODUCTS | $173.18 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $173.18 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $173.18 | ↑ +0% |
| HORIZON | WORKERS COMP | $180.65 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $181.84 | ↑ +5% |
| BEACON | ALL PRODUCTS | $187.50 | ↑ +8% |
| BERGEN RISK | ALL PRODUCTS | $187.50 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $188.77 | ↑ +9% |
| HORIZON | PIP | $190.50 | ↑ +10% |
| QUALCARE | HMO | $194.25 | ↑ +12% |
| QUALCARE | PPO | $194.25 | ↑ +12% |
| AETNA | ASA | $195.75 | ↑ +13% |
| HORIZON | OMNIA | $198.35 | ↑ +15% |
| CIGNA | BH | $200.00 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $207.82 | ↑ +20% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $212.50 | ↑ +23% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $212.50 | ↑ +23% |
| AMERIHEALTH | LOCAL HMO | $218.40 | ↑ +26% |
| QUALCARE | WORKERS COMP | $220.00 | ↑ +27% |
| AETNA | HMO | $225.00 | ↑ +30% |
| AETNA | PPO | $225.00 | ↑ +30% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $225.00 | ↑ +30% |
| CIGNA | PPO | $239.08 | ↑ +38% |
| CIGNA | HMO | $239.08 | ↑ +38% |
| HORIZON | SHP | $242.68 | ↑ +40% |
| HORIZON | HMO | $243.95 | ↑ +41% |
| HORIZON | INDEMNITY | $246.63 | ↑ +42% |
| AMERIHEALTH | REGIONAL HMO | $247.35 | ↑ +43% |
| HORIZON | PPO | $250.00 | ↑ +44% |
| OXFORD | ALL PRODUCTS | $676.00 | ↑ +290% |
| UNITED HEALTHCARE | HMO | $836.00 | ↑ +383% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Vital capacity test at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $76.20 | $3.74 – $341.98 |
| Cooperman Barnabas Medical Center | Livingston | $83.91 | $107.90 – $351.08 |
| Community Medical Center | Toms River | $84.20 | $110.50 – $340.27 |
| Clara Maass Medical Center | Belleville | $51.71 | $106.60 – $349.32 |
| Childrens Specialized Hospital | Mountainside | $110.00 | $394.00 – $394.00 |
| Newark Beth Israel Medical Center | Newark | $82.48 | $3.85 – $351.08 |
| Jersey City Medical Center | Jersey City | $84.36 | $4.84 – $366.68 |
| Monmouth Medical Center | Long Branch | $88.83 | $173.18 – $344.63 |