X-ray exam of jaw joint at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$264.17
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.
$865.00
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.
$122.83 with AETNA vs $841.82 with AMERIHEALTH — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $122.83 | ↓ -54% |
| AETNA | PPO | $137.57 | ↓ -48% |
| AETNA | HMO | $137.57 | ↓ -48% |
| KARNA | MEDICARE ADVANTAGE | $151.79 | ↓ -43% |
| CLOVER | MEDICARE ADVANTAGE | $155.70 | ↓ -41% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $157.85 | ↓ -40% |
| HORIZON | MANAGED MEDICAID | $164.78 | ↓ -38% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $167.81 | ↓ -36% |
| CIGNA | HMO | $214.67 | ↓ -19% |
| CIGNA | PPO | $214.67 | ↓ -19% |
| WELLCARE | MANAGED MEDICAID | $241.72 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $241.72 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $241.72 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $241.72 | ↓ -8% |
| VACCN | ALL PRODUCTS | $241.72 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $241.72 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $253.81 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $264.17 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $317.01 | ↑ +20% |
| QUALCARE | HMO | $429.04 | ↑ +62% |
| OXFORD | ALL PRODUCTS | $467.97 | ↑ +77% |
| HORIZON | OMNIA | $563.46 | ↑ +113% |
| INTERGROUP | WORKERS COMP | $605.50 | ↑ +129% |
| INTERGROUP | SHARED SAVINGS | $605.50 | ↑ +129% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $605.50 | ↑ +129% |
| HORIZON | WORKERS COMP | $620.03 | ↑ +135% |
| UNITED HEALTHCARE | HMO | $623.08 | ↑ +136% |
| BERGEN RISK | ALL PRODUCTS | $648.75 | ↑ +146% |
| QUALCARE | PPO | $668.65 | ↑ +153% |
| QUALCARE | WORKERS COMP | $668.65 | ↑ +153% |
| HORIZON | PIP | $668.65 | ↑ +153% |
| HORIZON | SHP | $674.44 | ↑ +155% |
| AETNA | ASA | $677.30 | ↑ +156% |
| PRIME HEALTH | WORKERS COMP | $692.00 | ↑ +162% |
| PRIME HEALTH | AUTO INSURANCE | $692.00 | ↑ +162% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $692.00 | ↑ +162% |
| HORIZON | HMO | $695.89 | ↑ +163% |
| HORIZON | INDEMNITY | $704.11 | ↑ +167% |
| HORIZON | PPO | $714.14 | ↑ +170% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $735.25 | ↑ +178% |
| AMERIHEALTH | LOCAL HMO | $743.21 | ↑ +181% |
| AMERIHEALTH | REGIONAL HMO | $841.82 | ↑ +219% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of jaw joint at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $267.55 | $137.57 – $623.08 |
| Hackensack University Medical Center | Hackensack | $284.66 | $126.83 – $711.68 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $267.78 | $159.40 – $659.90 |
| Jersey Shore University Medical Center | Neptune City | $267.55 | $143.26 – $280.93 |
| Palisades Medical Center | North Bergen | $284.66 | $130.18 – $623.08 |
| Raritan Bay Medical Center | Perth Amboy | $267.78 | $137.57 – $623.08 |
| Riverview Medical Center | Red Bank | $267.55 | $119.43 – $623.08 |
| Southern Ocean Medical Center | Manahawkin | $264.17 | $151.79 – $277.38 |