Cerebrospinal fld flw imag at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$595.79
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.
$2,267.00
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.
$256.91 with UNITED HEALTHCARE vs $2,267.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $256.91 | ↓ -57% |
| AETNA | MANAGED MEDICAID | $376.32 | ↓ -37% |
| CLOVER | MEDICARE ADVANTAGE | $408.06 | ↓ -32% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $523.68 | ↓ -12% |
| KARNA | MEDICARE ADVANTAGE | $547.26 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $595.79 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $595.79 | ↑ +0% |
| VACCN | ALL PRODUCTS | $595.79 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $595.79 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $595.79 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $625.58 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $649.41 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $714.95 | ↑ +20% |
| AETNA | PPO | $903.51 | ↑ +52% |
| AETNA | HMO | $903.51 | ↑ +52% |
| CIGNA | HMO | $1,079.54 | ↑ +81% |
| CIGNA | PPO | $1,079.54 | ↑ +81% |
| UNITED HEALTHCARE | HMO | $1,503.68 | ↑ +152% |
| OXFORD | ALL PRODUCTS | $1,503.68 | ↑ +152% |
| HORIZON | WORKERS COMP | $1,638.13 | ↑ +175% |
| BEACON | ALL PRODUCTS | $1,700.25 | ↑ +185% |
| BERGEN RISK | ALL PRODUCTS | $1,700.25 | ↑ +185% |
| HORIZON | PIP | $1,727.45 | ↑ +190% |
| QUALCARE | HMO | $1,761.46 | ↑ +196% |
| QUALCARE | PPO | $1,761.46 | ↑ +196% |
| AETNA | ASA | $1,775.06 | ↑ +198% |
| HORIZON | OMNIA | $1,798.64 | ↑ +202% |
| CIGNA | BH | $1,813.60 | ↑ +204% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,926.95 | ↑ +223% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,926.95 | ↑ +223% |
| AMERIHEALTH | LOCAL HMO | $1,980.45 | ↑ +232% |
| QUALCARE | WORKERS COMP | $1,994.96 | ↑ +235% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,040.30 | ↑ +242% |
| HORIZON | SHP | $2,200.58 | ↑ +269% |
| HORIZON | HMO | $2,212.14 | ↑ +271% |
| HORIZON | INDEMNITY | $2,236.40 | ↑ +275% |
| AMERIHEALTH | REGIONAL HMO | $2,242.97 | ↑ +276% |
| HORIZON | PPO | $2,267.00 | ↑ +281% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cerebrospinal fld flw imag at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $595.79 | $256.91 – $1,325.05 |
| Hackensack University Medical Center | Hackensack | $633.90 | $178.08 – $1,513.47 |
| Ocean University Medical Center | Brick | $588.26 | $256.91 – $1,325.05 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $596.31 | $538.27 – $1,403.35 |
| Palisades Medical Center | North Bergen | $633.90 | $196.44 – $1,325.05 |
| Raritan Bay Medical Center | Perth Amboy | $596.31 | $256.91 – $1,325.05 |
| Riverview Medical Center | Red Bank | $595.79 | $167.69 – $1,325.05 |
| Southern Ocean Medical Center | Manahawkin | $588.26 | $256.91 – $1,079.54 |