MRI chest w IV cont at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$874.49
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.
$3,914.00
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.
$649.72 with AETNA vs $4,332.00 with BERGEN RISK — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $649.72 | ↓ -26% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $650.00 | ↓ -26% |
| CLOVER | MEDICARE ADVANTAGE | $704.52 | ↓ -19% |
| KARNA | MEDICARE ADVANTAGE | $708.62 | ↓ -19% |
| WELLCARE | MANAGED MEDICAID | $874.49 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $874.49 | ↑ +0% |
| VACCN | ALL PRODUCTS | $874.49 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $874.49 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $874.49 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $904.13 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $918.21 | ↑ +5% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $951.00 | ↑ +9% |
| AETNA | MEDICARE ADVANTAGE | $953.19 | ↑ +9% |
| CIGNA | HMO | $963.54 | ↑ +10% |
| CIGNA | PPO | $963.54 | ↑ +10% |
| UNITED HEALTHCARE | DSNP | $1,049.38 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $1,075.10 | ↑ +23% |
| AMERIHEALTH | REGIONAL HMO | $1,093.69 | ↑ +25% |
| AETNA | HMO | $1,097.08 | ↑ +25% |
| AETNA | PPO | $1,097.08 | ↑ +25% |
| QUALCARE | HMO | $2,083.00 | ↑ +138% |
| QUALCARE | WORKERS COMP | $2,159.00 | ↑ +147% |
| UNITED HEALTHCARE | HMO | $2,197.39 | ↑ +151% |
| OXFORD | ALL PRODUCTS | $2,197.39 | ↑ +151% |
| QUALCARE | PPO | $2,218.00 | ↑ +154% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,700.66 | ↑ +209% |
| HORIZON | WORKERS COMP | $2,828.26 | ↑ +223% |
| HORIZON | PIP | $2,982.47 | ↑ +241% |
| AETNA | ASA | $3,064.66 | ↑ +250% |
| HORIZON | OMNIA | $3,105.37 | ↑ +255% |
| CIGNA | BH | $3,131.20 | ↑ +258% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,326.90 | ↑ +280% |
| HORIZON | SHP | $3,799.32 | ↑ +334% |
| HORIZON | HMO | $3,819.28 | ↑ +337% |
| HORIZON | INDEMNITY | $3,861.16 | ↑ +342% |
| BEACON | ALL PRODUCTS | $3,903.00 | ↑ +346% |
| HORIZON | PPO | $3,914.00 | ↑ +348% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +395% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
MRI chest w IV cont at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $714.76 | $200.48 – $1,726.88 |
| Community Medical Center | Toms River | $789.77 | $326.00 – $2,072.00 |
| Clara Maass Medical Center | Belleville | $706.09 | $326.00 – $2,072.00 |
| Newark Beth Israel Medical Center | Newark | $773.00 | $206.38 – $2,072.00 |
| Jersey City Medical Center | Jersey City | $791.30 | $259.45 – $2,010.00 |
| Monmouth Medical Center | Long Branch | $833.19 | $326.00 – $2,072.00 |
| Bayshore Medical Center | Holmdel | $874.49 | $874.49 – $4,332.00 |
| Hackensack University Medical Center | Hackensack | $930.42 | $443.04 – $4,332.00 |