Full mouth x-ray of teeth at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$267.55
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.
$385.00
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.
$58.94 with UNITED HEALTHCARE vs $385.00 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 | $58.94 | ↓ -78% |
| AETNA | MANAGED MEDICAID | $63.91 | ↓ -76% |
| CLOVER | MEDICARE ADVANTAGE | $69.30 | ↓ -74% |
| AMERIHEALTH | LOCAL HMO | $80.14 | ↓ -70% |
| AMERIHEALTH | REGIONAL HMO | $81.53 | ↓ -70% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $88.94 | ↓ -67% |
| KARNA | MEDICARE ADVANTAGE | $98.40 | ↓ -63% |
| AETNA | PPO | $119.35 | ↓ -55% |
| AETNA | HMO | $119.35 | ↓ -55% |
| CIGNA | PPO | $162.81 | ↓ -39% |
| CIGNA | HMO | $162.81 | ↓ -39% |
| UNITED HEALTHCARE | HMO | $217.53 | ↓ -19% |
| OXFORD | ALL PRODUCTS | $217.53 | ↓ -19% |
| QUALCARE | HMO | $223.69 | ↓ -16% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $267.55 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $267.55 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $267.55 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $267.55 | ↑ +0% |
| VACCN | ALL PRODUCTS | $267.55 | ↑ +0% |
| HORIZON | WORKERS COMP | $278.20 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $280.93 | ↑ +5% |
| BERGEN RISK | ALL PRODUCTS | $288.75 | ↑ +8% |
| BEACON | ALL PRODUCTS | $288.75 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $291.63 | ↑ +9% |
| HORIZON | PIP | $293.37 | ↑ +10% |
| QUALCARE | PPO | $299.15 | ↑ +12% |
| AETNA | ASA | $301.46 | ↑ +13% |
| HORIZON | OMNIA | $305.46 | ↑ +14% |
| CIGNA | BH | $308.00 | ↑ +15% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $308.00 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $321.06 | ↑ +20% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $327.25 | ↑ +22% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $327.25 | ↑ +22% |
| QUALCARE | WORKERS COMP | $338.80 | ↑ +27% |
| HORIZON | SHP | $373.72 | ↑ +40% |
| HORIZON | HMO | $375.68 | ↑ +40% |
| HORIZON | INDEMNITY | $379.80 | ↑ +42% |
| HORIZON | PPO | $385.00 | ↑ +44% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Full mouth x-ray of teeth at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $267.55 | $58.94 – $623.08 |
| Hackensack University Medical Center | Hackensack | $284.66 | $22.30 – $711.68 |
| Ocean University Medical Center | Brick | $264.17 | $58.94 – $264.17 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $267.78 | $72.92 – $659.90 |
| Palisades Medical Center | North Bergen | $284.66 | $24.60 – $623.08 |
| Raritan Bay Medical Center | Perth Amboy | $267.78 | $33.75 – $623.08 |
| Riverview Medical Center | Red Bank | $267.55 | $21.00 – $623.08 |
| Southern Ocean Medical Center | Manahawkin | $264.17 | $58.94 – $277.38 |