X-ray exam of arm infant at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$116.22
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.
$398.00
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.
$36.37 with UNITED HEALTHCARE vs $338.30 with MULTIPLAN - PHCS — 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 | $36.37 | ↓ -69% |
| AMERIHEALTH | LOCAL HMO | $51.72 | ↓ -55% |
| AMERIHEALTH | REGIONAL HMO | $52.61 | ↓ -55% |
| AETNA | HMO | $54.74 | ↓ -53% |
| AETNA | PPO | $54.74 | ↓ -53% |
| AETNA | MANAGED MEDICAID | $56.52 | ↓ -51% |
| KARNA | MEDICARE ADVANTAGE | $58.30 | ↓ -50% |
| CLOVER | MEDICARE ADVANTAGE | $71.64 | ↓ -38% |
| HORIZON | MANAGED MEDICAID | $75.82 | ↓ -35% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $77.21 | ↓ -34% |
| CIGNA | HMO | $85.02 | ↓ -27% |
| CIGNA | PPO | $85.02 | ↓ -27% |
| VACCN | ALL PRODUCTS | $106.34 | ↓ -9% |
| WELLCARE | MEDICARE ADVANTAGE | $106.34 | ↓ -9% |
| AMERIGROUP | MEDICARE ADVANTAGE | $106.34 | ↓ -9% |
| WELLCARE | MANAGED MEDICAID | $106.34 | ↓ -9% |
| HORIZON | MEDICARE ADVANTAGE | $106.34 | ↓ -9% |
| AETNA | MEDICARE ADVANTAGE | $106.34 | ↓ -9% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $111.66 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $139.46 | ↑ +20% |
| QUALCARE | HMO | $197.41 | ↑ +70% |
| OXFORD | ALL PRODUCTS | $215.32 | ↑ +85% |
| HORIZON | OMNIA | $259.26 | ↑ +123% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $278.60 | ↑ +140% |
| INTERGROUP | SHARED SAVINGS | $278.60 | ↑ +140% |
| INTERGROUP | WORKERS COMP | $278.60 | ↑ +140% |
| HORIZON | WORKERS COMP | $285.29 | ↑ +145% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +154% |
| BERGEN RISK | ALL PRODUCTS | $298.50 | ↑ +157% |
| HORIZON | PIP | $307.65 | ↑ +165% |
| QUALCARE | PPO | $307.65 | ↑ +165% |
| QUALCARE | WORKERS COMP | $307.65 | ↑ +165% |
| HORIZON | SHP | $310.32 | ↑ +167% |
| AETNA | ASA | $311.63 | ↑ +168% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $318.40 | ↑ +174% |
| PRIME HEALTH | AUTO INSURANCE | $318.40 | ↑ +174% |
| PRIME HEALTH | WORKERS COMP | $318.40 | ↑ +174% |
| HORIZON | HMO | $320.19 | ↑ +176% |
| HORIZON | INDEMNITY | $323.97 | ↑ +179% |
| HORIZON | PPO | $328.59 | ↑ +183% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $338.30 | ↑ +191% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of arm infant at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $205.00 | $20.00 – $655.00 |
| Bayshore Medical Center | Holmdel | $117.70 | $36.37 – $295.04 |
| Hackensack University Medical Center | Hackensack | $125.23 | $29.73 – $336.99 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $46.25 – $312.47 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $36.37 – $123.59 |
| Palisades Medical Center | North Bergen | $125.23 | $32.80 – $295.04 |
| Raritan Bay Medical Center | Perth Amboy | $117.81 | $36.37 – $295.04 |
| Riverview Medical Center | Red Bank | $117.70 | $28.00 – $295.04 |