X-ray cervical spine 4-5 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.
$850.00
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.
$67.43 with UNITED HEALTHCARE vs $850.00 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 | $67.43 | ↓ -43% |
| AETNA | PPO | $86.11 | ↓ -27% |
| AETNA | HMO | $86.11 | ↓ -27% |
| AMERIHEALTH | LOCAL HMO | $95.78 | ↓ -19% |
| AMERIHEALTH | REGIONAL HMO | $97.44 | ↓ -17% |
| KARNA | MEDICARE ADVANTAGE | $98.84 | ↓ -16% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.59 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $128.30 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $141.10 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| CIGNA | HMO | $141.81 | ↑ +20% |
| CIGNA | PPO | $141.81 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $153.00 | ↑ +30% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $196.35 | ↑ +67% |
| OXFORD | ALL PRODUCTS | $480.25 | ↑ +308% |
| UNITED HEALTHCARE | HMO | $480.25 | ↑ +308% |
| QUALCARE | HMO | $493.85 | ↑ +320% |
| HORIZON | WORKERS COMP | $614.21 | ↑ +422% |
| BERGEN RISK | ALL PRODUCTS | $637.50 | ↑ +442% |
| BEACON | ALL PRODUCTS | $637.50 | ↑ +442% |
| HORIZON | PIP | $647.70 | ↑ +450% |
| QUALCARE | PPO | $660.45 | ↑ +461% |
| AETNA | ASA | $665.55 | ↑ +465% |
| HORIZON | OMNIA | $674.39 | ↑ +473% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $680.00 | ↑ +478% |
| CIGNA | BH | $680.00 | ↑ +478% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $722.50 | ↑ +514% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $722.50 | ↑ +514% |
| QUALCARE | WORKERS COMP | $748.00 | ↑ +536% |
| HORIZON | SHP | $825.10 | ↑ +601% |
| HORIZON | HMO | $829.43 | ↑ +605% |
| HORIZON | INDEMNITY | $838.53 | ↑ +612% |
| HORIZON | PPO | $850.00 | ↑ +622% |
| 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 cervical spine 4-5 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $156.35 | $27.97 – $232.44 |
| Cooperman Barnabas Medical Center | Livingston | $220.16 | $42.05 – $238.62 |
| Community Medical Center | Toms River | $172.76 | $42.05 – $231.28 |
| Clara Maass Medical Center | Belleville | $205.86 | $42.05 – $237.43 |
| Childrens Specialized Hospital | Mountainside | $226.50 | $25.64 – $655.00 |
| Newark Beth Israel Medical Center | Newark | $216.42 | $28.79 – $238.62 |
| Jersey City Medical Center | Jersey City | $173.09 | $36.19 – $249.21 |
| Monmouth Medical Center | Long Branch | $182.26 | $42.05 – $234.22 |