healthcosts.net
Shoulder X-ray at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$96.23
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.
$864.00
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.
$43.28 with UNITED HEALTHCARE vs $691.20 with PRIME HEALTH — 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 | $43.28 | ↓ -55% |
| AETNA | PPO | $54.74 | ↓ -43% |
| AETNA | HMO | $54.74 | ↓ -43% |
| AMERIHEALTH | LOCAL HMO | $61.66 | ↓ -36% |
| AMERIHEALTH | REGIONAL HMO | $62.73 | ↓ -35% |
| KARNA | MEDICARE ADVANTAGE | $64.43 | ↓ -33% |
| AMERIGROUP | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| HORIZON | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| AETNA | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| WELLCARE | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| VACCN | ALL PRODUCTS | $88.05 | ↓ -9% |
| WELLCARE | MANAGED MEDICAID | $88.05 | ↓ -9% |
| CIGNA | PPO | $89.95 | ↓ -7% |
| CIGNA | HMO | $89.95 | ↓ -7% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $92.45 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $96.23 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $97.70 | ↑ +2% |
| UNITED HEALTHCARE | DSNP | $115.47 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $123.84 | ↑ +29% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $133.47 | ↑ +39% |
| HORIZON | MANAGED MEDICAID | $164.59 | ↑ +71% |
| UNITED HEALTHCARE | HMO | $219.04 | ↑ +128% |
| QUALCARE | HMO | $341.25 | ↑ +255% |
| OXFORD | ALL PRODUCTS | $372.21 | ↑ +287% |
| HORIZON | OMNIA | $448.16 | ↑ +366% |
| HORIZON | WORKERS COMP | $493.16 | ↑ +412% |
| BERGEN RISK | ALL PRODUCTS | $516.00 | ↑ +436% |
| HORIZON | PIP | $531.82 | ↑ +453% |
| QUALCARE | PPO | $534.58 | ↑ +456% |
| HORIZON | SHP | $536.43 | ↑ +457% |
| AETNA | ASA | $538.70 | ↑ +460% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $550.40 | ↑ +472% |
| HORIZON | HMO | $553.50 | ↑ +475% |
| HORIZON | INDEMNITY | $560.03 | ↑ +482% |
| HORIZON | PPO | $568.01 | ↑ +490% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $584.80 | ↑ +508% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $584.80 | ↑ +508% |
| INTERGROUP | SHARED SAVINGS | $604.80 | ↑ +528% |
| INTERGROUP | WORKERS COMP | $604.80 | ↑ +528% |
| QUALCARE | WORKERS COMP | $605.44 | ↑ +529% |
| PRIME HEALTH | WORKERS COMP | $691.20 | ↑ +618% |
| PRIME HEALTH | AUTO INSURANCE | $691.20 | ↑ +618% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Shoulder X-ray at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $275.20 | $99.76 – $99.76 |
| Bayshore Medical Center | Holmdel | $97.46 | $43.28 – $584.80 |
| Hackensack University Medical Center | Hackensack | $103.69 | $24.53 – $762.05 |