X-ray exam of jaw joint 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.
$440.00
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.
$36.37 with UNITED HEALTHCARE vs $440.00 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 | $36.37 | ↓ -63% |
| AMERIHEALTH | LOCAL HMO | $56.69 | ↓ -42% |
| AMERIHEALTH | REGIONAL HMO | $57.67 | ↓ -41% |
| AETNA | HMO | $62.20 | ↓ -36% |
| AETNA | PPO | $62.20 | ↓ -36% |
| KARNA | MEDICARE ADVANTAGE | $63.81 | ↓ -35% |
| AETNA | MANAGED MEDICAID | $73.04 | ↓ -25% |
| CLOVER | MEDICARE ADVANTAGE | $79.20 | ↓ -19% |
| CIGNA | HMO | $92.43 | ↓ -5% |
| CIGNA | PPO | $92.43 | ↓ -5% |
| WELLCARE | MANAGED MEDICAID | $97.46 | ↑ +0% |
| VACCN | ALL PRODUCTS | $97.46 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $101.64 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $102.33 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $106.23 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $116.95 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $248.60 | ↑ +155% |
| UNITED HEALTHCARE | HMO | $248.60 | ↑ +155% |
| QUALCARE | HMO | $255.64 | ↑ +162% |
| HORIZON | WORKERS COMP | $317.94 | ↑ +226% |
| BEACON | ALL PRODUCTS | $330.00 | ↑ +239% |
| BERGEN RISK | ALL PRODUCTS | $330.00 | ↑ +239% |
| HORIZON | PIP | $335.28 | ↑ +244% |
| QUALCARE | PPO | $341.88 | ↑ +251% |
| AETNA | ASA | $344.52 | ↑ +253% |
| HORIZON | OMNIA | $349.10 | ↑ +258% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $352.00 | ↑ +261% |
| CIGNA | BH | $352.00 | ↑ +261% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $374.00 | ↑ +284% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $374.00 | ↑ +284% |
| QUALCARE | WORKERS COMP | $387.20 | ↑ +297% |
| HORIZON | SHP | $427.11 | ↑ +338% |
| HORIZON | HMO | $429.35 | ↑ +341% |
| HORIZON | INDEMNITY | $434.06 | ↑ +345% |
| HORIZON | PPO | $440.00 | ↑ +351% |
| 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 exam of jaw joint at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $274.60 | $18.05 – $192.46 |
| Cooperman Barnabas Medical Center | Livingston | $309.37 | $24.12 – $197.58 |
| Community Medical Center | Toms River | $301.55 | $24.12 – $191.50 |
| Clara Maass Medical Center | Belleville | $290.19 | $24.12 – $196.59 |
| Newark Beth Israel Medical Center | Newark | $303.70 | $18.59 – $197.58 |
| Jersey City Medical Center | Jersey City | $302.34 | $23.36 – $206.34 |
| Monmouth Medical Center | Long Branch | $318.57 | $24.12 – $193.95 |
| Bayshore Medical Center | Holmdel | $97.46 | $36.37 – $219.04 |