Brain MRI (with and without contrast) at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$395.29
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.
$5,631.00
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.
$395.29 with HORIZON BCBS BRAVEN vs $5,631.00 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 |
|---|---|---|---|
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $395.29 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $395.29 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $395.29 | ↑ +0% |
| VACCN | ALL PRODUCTS | $395.29 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $395.29 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $415.06 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $430.87 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $474.35 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $600.50 | ↑ +52% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $650.00 | ↑ +64% |
| CIGNA | HMO | $685.94 | ↑ +74% |
| CIGNA | PPO | $685.94 | ↑ +74% |
| AETNA | PPO | $767.66 | ↑ +94% |
| AETNA | HMO | $767.66 | ↑ +94% |
| AETNA | MANAGED MEDICAID | $934.75 | ↑ +136% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $951.00 | ↑ +141% |
| CLOVER | MEDICARE ADVANTAGE | $1,013.58 | ↑ +156% |
| UNITED HEALTHCARE | HMO | $1,131.05 | ↑ +186% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,300.76 | ↑ +229% |
| AMERIHEALTH | LOCAL HMO | $1,505.15 | ↑ +281% |
| AMERIHEALTH | REGIONAL HMO | $1,531.17 | ↑ +287% |
| QUALCARE | HMO | $2,083.00 | ↑ +427% |
| QUALCARE | WORKERS COMP | $2,159.00 | ↑ +446% |
| OXFORD | ALL PRODUCTS | $3,181.52 | ↑ +705% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,885.39 | ↑ +883% |
| BEACON | ALL PRODUCTS | $3,903.00 | ↑ +887% |
| HORIZON | WORKERS COMP | $4,068.96 | ↑ +929% |
| HORIZON | PIP | $4,290.82 | ↑ +985% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +996% |
| AETNA | ASA | $4,409.07 | ↑ +1015% |
| HORIZON | OMNIA | $4,467.64 | ↑ +1030% |
| CIGNA | BH | $4,504.80 | ↑ +1040% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,786.35 | ↑ +1111% |
| HORIZON | SHP | $5,466.01 | ↑ +1283% |
| HORIZON | HMO | $5,494.73 | ↑ +1290% |
| HORIZON | INDEMNITY | $5,554.98 | ↑ +1305% |
| QUALCARE | PPO | $5,610.00 | ↑ +1319% |
| HORIZON | PPO | $5,631.00 | ↑ +1325% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Brain MRI (with and without contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $395.29 | $395.29 – $4,332.00 |
| Hackensack University Medical Center | Hackensack | $420.58 | $336.46 – $4,947.16 |
| Ocean University Medical Center | Brick | $390.30 | $357.13 – $4,332.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $395.64 | $357.13 – $4,332.00 |
| Palisades Medical Center | North Bergen | $420.58 | $420.58 – $4,332.00 |
| Raritan Bay Medical Center | Perth Amboy | $395.64 | $395.64 – $4,332.00 |
| Riverview Medical Center | Red Bank | $395.29 | $395.29 – $4,332.00 |
| Southern Ocean Medical Center | Manahawkin | $390.30 | $390.30 – $4,332.00 |