Myelography thoracic spine 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.
$3,164.00
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.
$151.57 with AETNA vs $3,164.00 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 |
|---|---|---|---|
| AETNA | HMO | $151.57 | ↓ -83% |
| AETNA | PPO | $151.57 | ↓ -83% |
| KARNA | MEDICARE ADVANTAGE | $196.93 | ↓ -77% |
| CIGNA | PPO | $256.66 | ↓ -71% |
| CIGNA | HMO | $256.66 | ↓ -71% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $323.91 | ↓ -63% |
| AETNA | MANAGED MEDICAID | $525.22 | ↓ -40% |
| CLOVER | MEDICARE ADVANTAGE | $569.52 | ↓ -35% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $730.88 | ↓ -16% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $874.49 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $874.49 | ↑ +0% |
| VACCN | ALL PRODUCTS | $874.49 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $874.49 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $874.49 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $918.21 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $953.19 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,049.38 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $1,787.66 | ↑ +104% |
| UNITED HEALTHCARE | HMO | $1,787.66 | ↑ +104% |
| QUALCARE | HMO | $1,838.28 | ↑ +110% |
| HORIZON | WORKERS COMP | $2,286.31 | ↑ +161% |
| BERGEN RISK | ALL PRODUCTS | $2,373.00 | ↑ +171% |
| BEACON | ALL PRODUCTS | $2,373.00 | ↑ +171% |
| HORIZON | PIP | $2,410.97 | ↑ +176% |
| QUALCARE | PPO | $2,458.43 | ↑ +181% |
| AETNA | ASA | $2,477.41 | ↑ +183% |
| HORIZON | OMNIA | $2,510.32 | ↑ +187% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,531.20 | ↑ +189% |
| CIGNA | BH | $2,531.20 | ↑ +189% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,689.40 | ↑ +208% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,689.40 | ↑ +208% |
| AMERIHEALTH | LOCAL HMO | $2,764.07 | ↑ +216% |
| QUALCARE | WORKERS COMP | $2,784.32 | ↑ +218% |
| HORIZON | SHP | $3,071.29 | ↑ +251% |
| HORIZON | HMO | $3,087.43 | ↑ +253% |
| HORIZON | INDEMNITY | $3,121.29 | ↑ +257% |
| AMERIHEALTH | REGIONAL HMO | $3,130.46 | ↑ +258% |
| HORIZON | PPO | $3,164.00 | ↑ +262% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Myelography thoracic spine at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $307.82 | $55.72 – $1,726.88 |
| Cooperman Barnabas Medical Center | Livingston | $432.48 | $91.84 – $1,772.76 |
| Community Medical Center | Toms River | $340.13 | $91.84 – $1,718.25 |
| Clara Maass Medical Center | Belleville | $356.82 | $91.84 – $1,763.90 |
| Newark Beth Israel Medical Center | Newark | $425.14 | $57.36 – $1,772.76 |
| Monmouth Medical Center | Long Branch | $358.83 | $91.84 – $1,740.24 |
| Bayshore Medical Center | Holmdel | $874.49 | $145.55 – $1,936.35 |
| Hackensack University Medical Center | Hackensack | $930.42 | $83.26 – $2,211.69 |