X-ray exam entire spi 4/5 vw at Monmouth Medical Center
300 2nd Ave, Long Branch, NJ · RWJBarnabas Health · · NPI 1609983790
$189.48
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.
$866.00
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.
$61.70 with Horizon Blue Cross Blue Shield of New Jersey vs $837.50 with Horizon Blue Cross Blue Shield of New Jersey — 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 |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $61.70 | ↓ -67% |
| Amerihealth | Local Value | $68.53 | ↓ -64% |
| Amerihealth | Regional Preferred | $68.53 | ↓ -64% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $102.32 | ↓ -46% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $102.32 | ↓ -46% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $102.32 | ↓ -46% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $102.32 | ↓ -46% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $117.70 | ↓ -38% |
| Aetna | Medicare | $117.70 | ↓ -38% |
| Humana | Medicare | $117.70 | ↓ -38% |
| Wellpoint | Medicare Advantage | $117.70 | ↓ -38% |
| Clover Health | Medicare Advantage | $117.70 | ↓ -38% |
| Fidelis Care | Medicare Advantage | $117.70 | ↓ -38% |
| United Healthcare | Medicare | $118.54 | ↓ -37% |
| United Healthcare | Nexus | $143.22 | ↓ -24% |
| United Healthcare | Oxford Metro | $143.22 | ↓ -24% |
| Aetna | HMO | $166.27 | ↓ -12% |
| Aetna | PPO | $166.27 | ↓ -12% |
| United Healthcare | Commercial | $177.09 | ↓ -7% |
| United Healthcare | Oxford Commercial | $177.09 | ↓ -7% |
| Emblem Health | Commercial | $205.98 | ↑ +9% |
| United Healthcare | Community Plan | $215.20 | ↑ +14% |
| Fidelis Care | NJ Family Care | $219.35 | ↑ +16% |
| Wellcare | Ambetter Health Commercial | $234.22 | ↑ +24% |
| Aetna | Better Health | $235.72 | ↑ +24% |
| Cigna | Local Plus | $324.60 | ↑ +71% |
| Cigna | PPO | $324.60 | ↑ +71% |
| Cigna | HMO | $324.60 | ↑ +71% |
| Wellpoint | NJ Family Care | $493.62 | ↑ +161% |
| First Health | Commercial | $519.60 | ↑ +174% |
| Qualcare Inc | HMO/POS | $665.08 | ↑ +251% |
| Qualcare Inc | PPO/WC | $709.25 | ↑ +274% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $815.33 | ↑ +330% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $837.50 | ↑ +342% |
Visitor-reported prices
Comments
X-ray exam entire spi 4/5 vw at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $162.54 | $41.39 – $324.60 |
| Community Medical Center | Toms River | $179.60 | $61.70 – $324.60 |
| Childrens Specialized Hospital | Mountainside | $234.00 | $37.62 – $655.00 |
| Newark Beth Israel Medical Center | Newark | $199.55 | $42.61 – $324.60 |
| Jersey City Medical Center | Jersey City | $179.95 | $53.57 – $324.60 |
| Bayshore Medical Center | Holmdel | $117.70 | $93.10 – $295.04 |
| Hackensack University Medical Center | Hackensack | $125.23 | $55.93 – $336.99 |
| Ocean University Medical Center | Brick | $116.22 | $93.10 – $222.08 |