Lower Back (Lumbar Spine) CT scan (without contrast) at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$117.70
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.
$117.70 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 | MANAGED MEDICAID | $117.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.59 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $128.30 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $242.50 | ↑ +106% |
| CIGNA | HMO | $255.74 | ↑ +117% |
| CIGNA | PPO | $255.74 | ↑ +117% |
| AETNA | HMO | $326.16 | ↑ +177% |
| AETNA | PPO | $326.16 | ↑ +177% |
| OXFORD | ALL PRODUCTS | $334.81 | ↑ +184% |
| UNITED HEALTHCARE | HMO | $334.81 | ↑ +184% |
| AETNA | MANAGED MEDICAID | $383.46 | ↑ +226% |
| CLOVER | MEDICARE ADVANTAGE | $415.80 | ↑ +253% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $533.61 | ↑ +353% |
| AMERIHEALTH | LOCAL HMO | $541.46 | ↑ +360% |
| AMERIHEALTH | REGIONAL HMO | $550.82 | ↑ +368% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $650.00 | ↑ +452% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $714.00 | ↑ +507% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,593.90 | ↑ +1254% |
| HORIZON | WORKERS COMP | $1,669.21 | ↑ +1318% |
| BERGEN RISK | ALL PRODUCTS | $1,732.50 | ↑ +1372% |
| BEACON | ALL PRODUCTS | $1,732.50 | ↑ +1372% |
| HORIZON | PIP | $1,760.22 | ↑ +1396% |
| AETNA | ASA | $1,808.73 | ↑ +1437% |
| HORIZON | OMNIA | $1,832.75 | ↑ +1457% |
| CIGNA | BH | $1,848.00 | ↑ +1470% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,963.50 | ↑ +1568% |
| QUALCARE | HMO | $2,083.00 | ↑ +1670% |
| QUALCARE | WORKERS COMP | $2,097.48 | ↑ +1682% |
| QUALCARE | PPO | $2,218.00 | ↑ +1784% |
| HORIZON | SHP | $2,242.32 | ↑ +1805% |
| HORIZON | HMO | $2,254.10 | ↑ +1815% |
| HORIZON | INDEMNITY | $2,278.82 | ↑ +1836% |
| HORIZON | PPO | $2,310.00 | ↑ +1863% |
| 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
Lower Back (Lumbar Spine) CT scan (without contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $392.85 | $68.62 – $522.66 |
| Cooperman Barnabas Medical Center | Livingston | $506.01 | $119.31 – $726.00 |
| Community Medical Center | Toms River | $434.08 | $116.22 – $726.00 |
| Clara Maass Medical Center | Belleville | $732.15 | $119.31 – $726.00 |
| Newark Beth Israel Medical Center | Newark | $497.42 | $70.63 – $726.00 |
| Jersey City Medical Center | Jersey City | $434.92 | $88.80 – $704.00 |
| Monmouth Medical Center | Long Branch | $457.94 | $117.70 – $726.00 |
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $1,762.00 |