X-ray exam of salivary gland 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.
?
What you pay up front if you don't use insurance.
$146.00
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.
$20.73 with AETNA vs $219.04 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 | $20.73 | ↓ -78% |
| CLOVER | MEDICARE ADVANTAGE | $26.28 | ↓ -73% |
| HORIZON | MANAGED MEDICAID | $27.81 | ↓ -71% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $28.32 | ↓ -71% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $50.46 | ↓ -48% |
| KARNA | MEDICARE ADVANTAGE | $69.43 | ↓ -28% |
| AMERIHEALTH | LOCAL HMO | $69.62 | ↓ -28% |
| AMERIHEALTH | REGIONAL HMO | $70.82 | ↓ -26% |
| QUALCARE | HMO | $72.42 | ↓ -25% |
| AETNA | HMO | $74.71 | ↓ -22% |
| AETNA | PPO | $74.71 | ↓ -22% |
| OXFORD | ALL PRODUCTS | $78.99 | ↓ -18% |
| VACCN | ALL PRODUCTS | $88.05 | ↓ -9% |
| AMERIGROUP | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| HORIZON | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| WELLCARE | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| WELLCARE | MANAGED MEDICAID | $88.05 | ↓ -9% |
| AETNA | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $92.45 | ↓ -4% |
| HORIZON | OMNIA | $95.10 | ↓ -1% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $96.23 | ↑ +0% |
| INTERGROUP | WORKERS COMP | $102.20 | ↑ +6% |
| INTERGROUP | SHARED SAVINGS | $102.20 | ↑ +6% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $102.20 | ↑ +6% |
| HORIZON | WORKERS COMP | $104.65 | ↑ +9% |
| CIGNA | HMO | $106.02 | ↑ +10% |
| CIGNA | PPO | $106.02 | ↑ +10% |
| BERGEN RISK | ALL PRODUCTS | $109.50 | ↑ +14% |
| QUALCARE | WORKERS COMP | $112.86 | ↑ +17% |
| HORIZON | PIP | $112.86 | ↑ +17% |
| QUALCARE | PPO | $112.86 | ↑ +17% |
| HORIZON | SHP | $113.84 | ↑ +18% |
| AETNA | ASA | $114.32 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $115.47 | ↑ +20% |
| PRIME HEALTH | WORKERS COMP | $116.80 | ↑ +21% |
| PRIME HEALTH | AUTO INSURANCE | $116.80 | ↑ +21% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $116.80 | ↑ +21% |
| HORIZON | HMO | $117.46 | ↑ +22% |
| HORIZON | INDEMNITY | $118.84 | ↑ +23% |
| HORIZON | PPO | $120.54 | ↑ +25% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $124.10 | ↑ +29% |
| UNITED HEALTHCARE | HMO | $219.04 | ↑ +128% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of salivary gland at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $97.46 | $50.46 – $219.04 |
| Hackensack University Medical Center | Hackensack | $103.69 | $22.30 – $250.18 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $97.54 | $62.25 – $231.98 |
| Jersey Shore University Medical Center | Neptune City | $97.46 | $50.46 – $106.02 |
| Palisades Medical Center | North Bergen | $103.69 | $24.60 – $219.04 |
| Raritan Bay Medical Center | Perth Amboy | $97.54 | $33.75 – $219.04 |
| Riverview Medical Center | Red Bank | $97.46 | $21.00 – $219.04 |
| Southern Ocean Medical Center | Manahawkin | $96.23 | $50.46 – $106.02 |