X-ray thoracolumbar spine >=2 views at Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
$113.38
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.
$477.00
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.
$31.18 with Horizon Blue Cross Blue Shield of New Jersey vs $463.21 with Horizon Blue Cross Blue Shield of New Jersey — 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $31.18 | ↓ -72% |
| Amerihealth | Local Value | $50.35 | ↓ -56% |
| Amerihealth | Regional Preferred | $50.35 | ↓ -56% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $55.76 | ↓ -51% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $55.76 | ↓ -51% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $55.76 | ↓ -51% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $55.76 | ↓ -51% |
| Aetna | PPO | $65.09 | ↓ -43% |
| Aetna | HMO | $65.09 | ↓ -43% |
| Qualcare Inc | HMO/POS | $73.00 | ↓ -36% |
| United Healthcare | Community Plan | $88.19 | ↓ -22% |
| Fidelis Care | NJ Family Care | $89.86 | ↓ -21% |
| Fidelis Care | Medicare Advantage | $96.23 | ↓ -15% |
| Wellpoint | Medicare Advantage | $96.23 | ↓ -15% |
| Humana | Medicare | $96.23 | ↓ -15% |
| Clover | Medicare Advantage | $96.23 | ↓ -15% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $96.23 | ↓ -15% |
| Aetna | Medicare | $96.23 | ↓ -15% |
| Aetna | Better Health | $96.59 | ↓ -15% |
| United Healthcare | Medicare | $98.15 | ↓ -13% |
| United Healthcare | Oxford Metro | $116.42 | ↑ +3% |
| United Healthcare | Nexus | $116.42 | ↑ +3% |
| United Healthcare | Commercial | $126.10 | ↑ +11% |
| United Healthcare | Oxford Commercial | $126.10 | ↑ +11% |
| Cigna | HMO | $128.33 | ↑ +13% |
| Cigna | PPO | $128.33 | ↑ +13% |
| Cigna | Local Plus | $128.33 | ↑ +13% |
| Emblem Health | Commercial | $168.40 | ↑ +49% |
| Wellcare | Ambetter Health Commercial | $191.50 | ↑ +69% |
| Wellpoint | NJ Family Care | $271.89 | ↑ +140% |
| First Health | Commercial | $286.20 | ↑ +152% |
| Qualcare Inc | PPO/WC | $390.66 | ↑ +245% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $454.96 | ↑ +301% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $463.21 | ↑ +309% |
Visitor-reported prices
Comments
X-ray thoracolumbar spine >=2 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $89.53 | $18.02 – $192.46 |
| Cooperman Barnabas Medical Center | Livingston | $166.97 | $31.18 – $197.58 |
| Community Medical Center | Toms River | $98.92 | $31.18 – $191.50 |
| Clara Maass Medical Center | Belleville | $97.06 | $31.18 – $196.59 |
| Childrens Specialized Hospital | Mountainside | $145.50 | $19.01 – $655.00 |
| Newark Beth Israel Medical Center | Newark | $164.14 | $18.55 – $197.58 |
| Jersey City Medical Center | Jersey City | $99.12 | $23.32 – $206.34 |
| Bayshore Medical Center | Holmdel | $97.46 | $50.46 – $219.04 |