X-ray arthrogram shoulder supervision & interpretation (both sides) at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$395.29
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.
$1,659.00
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.
$157.85 with UNITED HEALTHCARE vs $1,659.00 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 | $157.85 | ↓ -60% |
| AETNA | PPO | $211.84 | ↓ -46% |
| AETNA | HMO | $211.84 | ↓ -46% |
| KARNA | MEDICARE ADVANTAGE | $242.95 | ↓ -39% |
| AETNA | MANAGED MEDICAID | $275.39 | ↓ -30% |
| CLOVER | MEDICARE ADVANTAGE | $298.62 | ↓ -24% |
| CIGNA | PPO | $375.21 | ↓ -5% |
| CIGNA | HMO | $375.21 | ↓ -5% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $383.23 | ↓ -3% |
| WELLCARE | MANAGED MEDICAID | $395.29 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $395.29 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $395.29 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $395.29 | ↑ +0% |
| VACCN | ALL PRODUCTS | $395.29 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $415.06 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $430.87 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $474.35 | ↑ +20% |
| QUALCARE | HMO | $963.88 | ↑ +144% |
| OXFORD | ALL PRODUCTS | $1,131.05 | ↑ +186% |
| UNITED HEALTHCARE | HMO | $1,131.05 | ↑ +186% |
| HORIZON | WORKERS COMP | $1,198.79 | ↑ +203% |
| BEACON | ALL PRODUCTS | $1,244.25 | ↑ +215% |
| BERGEN RISK | ALL PRODUCTS | $1,244.25 | ↑ +215% |
| HORIZON | PIP | $1,264.16 | ↑ +220% |
| QUALCARE | PPO | $1,289.04 | ↑ +226% |
| AETNA | ASA | $1,299.00 | ↑ +229% |
| HORIZON | OMNIA | $1,316.25 | ↑ +233% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,327.20 | ↑ +236% |
| CIGNA | BH | $1,327.20 | ↑ +236% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,410.15 | ↑ +257% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,410.15 | ↑ +257% |
| AMERIHEALTH | LOCAL HMO | $1,449.30 | ↑ +267% |
| QUALCARE | WORKERS COMP | $1,459.92 | ↑ +269% |
| HORIZON | SHP | $1,610.39 | ↑ +307% |
| HORIZON | HMO | $1,618.85 | ↑ +310% |
| HORIZON | INDEMNITY | $1,636.60 | ↑ +314% |
| AMERIHEALTH | REGIONAL HMO | $1,641.41 | ↑ +315% |
| HORIZON | PPO | $1,659.00 | ↑ +320% |
| 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 arthrogram shoulder supervision & interpretation (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $395.29 | $157.85 – $996.68 |
| Hackensack University Medical Center | Hackensack | $420.58 | $31.22 – $1,138.41 |
| Ocean University Medical Center | Brick | $390.30 | $157.85 – $390.30 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $395.64 | $256.01 – $1,055.58 |
| Palisades Medical Center | North Bergen | $420.58 | $34.44 – $996.68 |
| Raritan Bay Medical Center | Perth Amboy | $395.64 | $47.25 – $996.68 |
| Riverview Medical Center | Red Bank | $395.29 | $29.40 – $996.68 |
| Southern Ocean Medical Center | Manahawkin | $390.30 | $157.85 – $409.82 |