Skull X-ray (complete) at Monmouth Medical Center
300 2nd Ave, Long Branch, NJ · RWJBarnabas Health · · NPI 1609983790
not published by hospital
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.
not published by hospital
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.
$45.10 with Horizon Blue Cross Blue Shield of New Jersey vs $234.22 with Wellcare — 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 | $45.10 | — |
| Amerihealth | Regional Preferred | $69.93 | — |
| Amerihealth | Local Value | $69.93 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $69.94 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $69.94 | — |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $69.94 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $69.94 | — |
| Aetna | PPO | $82.71 | — |
| Aetna | HMO | $82.71 | — |
| Qualcare Inc | HMO/POS | $98.00 | — |
| Humana | Medicare | $117.70 | — |
| Fidelis Care | Medicare Advantage | $117.70 | — |
| Aetna | Medicare | $117.70 | — |
| Wellpoint | Medicare Advantage | $117.70 | — |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $117.70 | — |
| Clover Health | Medicare Advantage | $117.70 | — |
| United Healthcare | Medicare | $118.54 | — |
| United Healthcare | Nexus | $143.22 | — |
| United Healthcare | Oxford Metro | $143.22 | — |
| Cigna | HMO | $163.06 | — |
| Cigna | Local Plus | $163.06 | — |
| Cigna | PPO | $163.06 | — |
| United Healthcare | Oxford Commercial | $177.09 | — |
| United Healthcare | Commercial | $177.09 | — |
| Emblem Health | Commercial | $205.98 | — |
| Wellcare | Ambetter Health Commercial | $234.22 | — |
| Wellpoint | NJ Family Care | not published by hospital | — |
| Fidelis Care | NJ Family Care | not published by hospital | — |
| First Health | Commercial | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | not published by hospital | — |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | not published by hospital | — |
| Qualcare Inc | PPO/WC | not published by hospital | — |
| Self Pay | Self Pay | not published by hospital | — |
| United Healthcare | Community Plan | not published by hospital | — |
| Aetna | Better Health | not published by hospital | — |
Visitor-reported prices
Comments
Skull X-ray (complete) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $117.68 | $23.22 – $232.44 |
| Cooperman Barnabas Medical Center | Livingston | $167.18 | $45.10 – $238.62 |
| Community Medical Center | Toms River | $130.03 | $45.10 – $231.28 |
| Clara Maass Medical Center | Belleville | $156.13 | $45.10 – $237.43 |
| Childrens Specialized Hospital | Mountainside | $154.50 | $27.50 – $655.00 |
| Newark Beth Israel Medical Center | Newark | $164.34 | $23.90 – $238.62 |
| Jersey City Medical Center | Jersey City | $130.29 | $30.04 – $249.21 |
| Bayshore Medical Center | Holmdel | $117.70 | $67.43 – $295.04 |