Knee X-ray at Childrens Specialized Hospital
150 New Providence Rd, Mountainside, NJ · RWJBarnabas Health · · NPI 1396886297
$485.00
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.
$970.00
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.
$24.75 with Horizon Blue Cross Blue Shield of New Jersey vs $770.00 with United Healthcare — 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 | $24.75 | ↓ -95% |
| First Health | Commercial | $291.00 | ↓ -40% |
| Cigna | HMO | $292.11 | ↓ -40% |
| Cigna | PPO | $292.11 | ↓ -40% |
| Emblem Health | Commercial | $329.80 | ↓ -32% |
| Amerihealth | Local Value | $367.43 | ↓ -24% |
| Amerihealth | Regional Preferred | $367.43 | ↓ -24% |
| Wellpoint | NJ Family Care | $370.83 | ↓ -24% |
| Aetna | Better Health | $370.83 | ↓ -24% |
| Fidelis Care | NJ Family Care | $370.83 | ↓ -24% |
| Aetna | HMO | $373.45 | ↓ -23% |
| Aetna | PPO | $373.45 | ↓ -23% |
| Qualcare Inc | HMO | $378.30 | ↓ -22% |
| Qualcare Inc | PPO | $378.30 | ↓ -22% |
| United Healthcare | Community Plan | $381.93 | ↓ -21% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $475.30 | ↓ -2% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $475.30 | ↓ -2% |
| United Healthcare | Nexus | $655.00 | ↑ +35% |
| United Healthcare | Oxford Metro | $655.00 | ↑ +35% |
| United Healthcare | Commercial | $770.00 | ↑ +59% |
| United Healthcare | Oxford Commercial | $770.00 | ↑ +59% |
Visitor-reported prices
Comments
Knee X-ray at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $323.60 | $117.31 – $117.31 |
| Bayshore Medical Center | Holmdel | $117.70 | $46.88 – $295.04 |
| Hackensack University Medical Center | Hackensack | $125.23 | $36.80 – $336.99 |
| Ocean University Medical Center | Brick | $116.22 | $46.88 – $125.77 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $62.25 – $312.47 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $46.88 – $125.77 |
| Palisades Medical Center | North Bergen | $125.23 | $40.59 – $295.04 |
| Raritan Bay Medical Center | Perth Amboy | $117.81 | $46.88 – $295.04 |