CT thoracic spine w/contrast at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$197.04
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.
$2,310.00
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.
$197.04 with WELLCARE vs $2,310.00 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 |
|---|---|---|---|
| WELLCARE | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $197.04 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $197.04 | ↑ +0% |
| VACCN | ALL PRODUCTS | $197.04 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $206.90 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $214.78 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $236.45 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $319.79 | ↑ +62% |
| CIGNA | PPO | $350.64 | ↑ +78% |
| CIGNA | HMO | $350.64 | ↑ +78% |
| AETNA | MANAGED MEDICAID | $383.46 | ↑ +95% |
| CLOVER | MEDICARE ADVANTAGE | $415.80 | ↑ +111% |
| AETNA | HMO | $491.39 | ↑ +149% |
| AETNA | PPO | $491.39 | ↑ +149% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $533.61 | ↑ +171% |
| UNITED HEALTHCARE | HMO | $548.59 | ↑ +178% |
| OXFORD | ALL PRODUCTS | $548.59 | ↑ +178% |
| AMERIHEALTH | LOCAL HMO | $631.38 | ↑ +220% |
| AMERIHEALTH | REGIONAL HMO | $642.29 | ↑ +226% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $650.00 | ↑ +230% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $714.00 | ↑ +262% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,593.90 | ↑ +709% |
| HORIZON | WORKERS COMP | $1,669.21 | ↑ +747% |
| BERGEN RISK | ALL PRODUCTS | $1,732.50 | ↑ +779% |
| BEACON | ALL PRODUCTS | $1,732.50 | ↑ +779% |
| HORIZON | PIP | $1,760.22 | ↑ +793% |
| AETNA | ASA | $1,808.73 | ↑ +818% |
| HORIZON | OMNIA | $1,832.75 | ↑ +830% |
| CIGNA | BH | $1,848.00 | ↑ +838% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,963.50 | ↑ +896% |
| QUALCARE | HMO | $2,083.00 | ↑ +957% |
| QUALCARE | WORKERS COMP | $2,097.48 | ↑ +964% |
| QUALCARE | PPO | $2,218.00 | ↑ +1026% |
| HORIZON | SHP | $2,242.32 | ↑ +1038% |
| HORIZON | HMO | $2,254.10 | ↑ +1044% |
| HORIZON | INDEMNITY | $2,278.82 | ↑ +1057% |
| HORIZON | PPO | $2,310.00 | ↑ +1072% |
| 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
CT thoracic spine w/contrast at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $197.04 | $197.04 – $2,083.00 |
| Hackensack University Medical Center | Hackensack | $209.65 | $167.72 – $2,426.69 |
| Ocean University Medical Center | Brick | $194.55 | $178.02 – $2,083.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $197.21 | $178.02 – $574.51 |
| Palisades Medical Center | North Bergen | $209.65 | $209.65 – $650.00 |
| Raritan Bay Medical Center | Perth Amboy | $197.21 | $197.21 – $1,752.00 |
| Riverview Medical Center | Red Bank | $197.04 | $197.04 – $2,083.00 |
| Southern Ocean Medical Center | Manahawkin | $194.55 | $194.55 – $642.47 |