Artery x-rays lung at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$3,483.84
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.
$8,507.00
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.
$236.32 with KARNA vs $8,507.00 with HORIZON — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $236.32 | ↓ -93% |
| AETNA | HMO | $254.45 | ↓ -93% |
| AETNA | PPO | $254.45 | ↓ -93% |
| CIGNA | PPO | $276.42 | ↓ -92% |
| CIGNA | HMO | $276.42 | ↓ -92% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $943.10 | ↓ -73% |
| AETNA | MANAGED MEDICAID | $1,412.16 | ↓ -59% |
| CLOVER | MEDICARE ADVANTAGE | $1,531.26 | ↓ -56% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,965.12 | ↓ -44% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,483.84 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $3,483.84 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,483.84 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,658.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,797.39 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4,180.61 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $4,806.46 | ↑ +38% |
| UNITED HEALTHCARE | HMO | $4,806.46 | ↑ +38% |
| QUALCARE | HMO | $4,942.57 | ↑ +42% |
| HORIZON | WORKERS COMP | $6,147.16 | ↑ +76% |
| BERGEN RISK | ALL PRODUCTS | $6,380.25 | ↑ +83% |
| BEACON | ALL PRODUCTS | $6,380.25 | ↑ +83% |
| HORIZON | PIP | $6,482.33 | ↑ +86% |
| QUALCARE | PPO | $6,609.94 | ↑ +90% |
| AETNA | ASA | $6,660.98 | ↑ +91% |
| HORIZON | OMNIA | $6,749.45 | ↑ +94% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $6,805.60 | ↑ +95% |
| CIGNA | BH | $6,805.60 | ↑ +95% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $7,230.95 | ↑ +108% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,230.95 | ↑ +108% |
| AMERIHEALTH | LOCAL HMO | $7,431.72 | ↑ +113% |
| QUALCARE | WORKERS COMP | $7,486.16 | ↑ +115% |
| HORIZON | SHP | $8,257.74 | ↑ +137% |
| HORIZON | HMO | $8,301.13 | ↑ +138% |
| HORIZON | INDEMNITY | $8,392.16 | ↑ +141% |
| AMERIHEALTH | REGIONAL HMO | $8,416.83 | ↑ +142% |
| HORIZON | PPO | $8,507.00 | ↑ +144% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Artery x-rays lung at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,483.84 | $244.34 – $7,747.94 |
| Hackensack University Medical Center | Hackensack | $3,706.68 | $208.14 – $8,849.68 |
| Ocean University Medical Center | Brick | $3,439.84 | $236.32 – $3,439.84 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,486.86 | $246.85 – $8,205.81 |
| Palisades Medical Center | North Bergen | $3,706.68 | $229.60 – $7,747.94 |
| Raritan Bay Medical Center | Perth Amboy | $3,486.86 | $244.34 – $7,747.94 |
| Riverview Medical Center | Red Bank | $3,483.84 | $196.00 – $7,747.94 |
| Southern Ocean Medical Center | Manahawkin | $3,439.84 | $236.32 – $3,611.83 |