X-ray abdomen 2 views 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.
$641.00
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.
$40.58 with UNITED HEALTHCARE vs $641.00 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 | $40.58 | ↓ -66% |
| AETNA | HMO | $63.33 | ↓ -46% |
| AETNA | PPO | $63.33 | ↓ -46% |
| AMERIHEALTH | LOCAL HMO | $66.46 | ↓ -44% |
| KARNA | MEDICARE ADVANTAGE | $67.35 | ↓ -43% |
| AMERIHEALTH | REGIONAL HMO | $67.61 | ↓ -43% |
| CIGNA | PPO | $92.43 | ↓ -21% |
| CIGNA | HMO | $92.43 | ↓ -21% |
| AETNA | MANAGED MEDICAID | $106.41 | ↓ -10% |
| CLOVER | MEDICARE ADVANTAGE | $115.38 | ↓ -2% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.59 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $128.30 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $148.07 | ↑ +26% |
| OXFORD | ALL PRODUCTS | $362.17 | ↑ +208% |
| UNITED HEALTHCARE | HMO | $362.17 | ↑ +208% |
| QUALCARE | HMO | $372.42 | ↑ +216% |
| HORIZON | WORKERS COMP | $463.19 | ↑ +294% |
| BEACON | ALL PRODUCTS | $480.75 | ↑ +308% |
| BERGEN RISK | ALL PRODUCTS | $480.75 | ↑ +308% |
| HORIZON | PIP | $488.44 | ↑ +315% |
| QUALCARE | PPO | $498.06 | ↑ +323% |
| AETNA | ASA | $501.90 | ↑ +326% |
| HORIZON | OMNIA | $508.57 | ↑ +332% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $512.80 | ↑ +336% |
| CIGNA | BH | $512.80 | ↑ +336% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $544.85 | ↑ +363% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $544.85 | ↑ +363% |
| QUALCARE | WORKERS COMP | $564.08 | ↑ +379% |
| HORIZON | SHP | $622.22 | ↑ +429% |
| HORIZON | HMO | $625.49 | ↑ +431% |
| HORIZON | INDEMNITY | $632.35 | ↑ +437% |
| HORIZON | PPO | $641.00 | ↑ +445% |
| 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
X-ray abdomen 2 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $235.60 | $85.41 – $85.41 |
| Trinitas Regional Medical Center | Elizabeth | $98.35 | $19.05 – $232.44 |
| Cooperman Barnabas Medical Center | Livingston | $104.25 | $32.67 – $238.62 |
| Community Medical Center | Toms River | $108.67 | $32.67 – $231.28 |
| Clara Maass Medical Center | Belleville | $106.80 | $32.67 – $237.43 |
| Newark Beth Israel Medical Center | Newark | $102.48 | $19.61 – $238.62 |
| Jersey City Medical Center | Jersey City | $108.88 | $24.66 – $249.21 |
| Monmouth Medical Center | Long Branch | $114.65 | $32.67 – $234.22 |