X-ray acromioclavicular joints without or w/weighted distraction bilateral at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$97.46
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.
$682.00
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.
$50.46 with UNITED HEALTHCARE vs $682.00 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 | $50.46 | ↓ -48% |
| KARNA | MEDICARE ADVANTAGE | $53.27 | ↓ -45% |
| AMERIHEALTH | LOCAL HMO | $68.42 | ↓ -30% |
| CIGNA | PPO | $68.95 | ↓ -29% |
| CIGNA | HMO | $68.95 | ↓ -29% |
| AMERIHEALTH | REGIONAL HMO | $69.60 | ↓ -29% |
| AETNA | HMO | $72.60 | ↓ -26% |
| AETNA | PPO | $72.60 | ↓ -26% |
| WELLCARE | MANAGED MEDICAID | $97.46 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| VACCN | ALL PRODUCTS | $97.46 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $102.33 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $106.23 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $113.21 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $116.95 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $122.76 | ↑ +26% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $157.54 | ↑ +62% |
| OXFORD | ALL PRODUCTS | $385.33 | ↑ +295% |
| UNITED HEALTHCARE | HMO | $385.33 | ↑ +295% |
| QUALCARE | HMO | $396.24 | ↑ +307% |
| HORIZON | WORKERS COMP | $492.81 | ↑ +406% |
| BEACON | ALL PRODUCTS | $511.50 | ↑ +425% |
| BERGEN RISK | ALL PRODUCTS | $511.50 | ↑ +425% |
| HORIZON | PIP | $519.68 | ↑ +433% |
| QUALCARE | PPO | $529.91 | ↑ +444% |
| AETNA | ASA | $534.01 | ↑ +448% |
| HORIZON | OMNIA | $541.10 | ↑ +455% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $545.60 | ↑ +460% |
| CIGNA | BH | $545.60 | ↑ +460% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $579.70 | ↑ +495% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $579.70 | ↑ +495% |
| QUALCARE | WORKERS COMP | $600.16 | ↑ +516% |
| HORIZON | SHP | $662.02 | ↑ +579% |
| HORIZON | HMO | $665.50 | ↑ +583% |
| HORIZON | INDEMNITY | $672.79 | ↑ +590% |
| HORIZON | PPO | $682.00 | ↑ +600% |
| 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 acromioclavicular joints without or w/weighted distraction bilateral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $136.83 | $15.08 – $192.46 |
| Cooperman Barnabas Medical Center | Livingston | $128.62 | $29.52 – $197.58 |
| Community Medical Center | Toms River | $151.19 | $29.52 – $191.50 |
| Clara Maass Medical Center | Belleville | $91.49 | $29.52 – $196.59 |
| Newark Beth Israel Medical Center | Newark | $126.43 | $15.52 – $197.58 |
| Jersey City Medical Center | Jersey City | $151.48 | $19.51 – $206.34 |
| Monmouth Medical Center | Long Branch | $159.50 | $29.52 – $193.95 |
| Bayshore Medical Center | Holmdel | $97.46 | $50.46 – $219.04 |