X-ray exam of jaw joint at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$267.55
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.
$865.00
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.
$143.26 with AETNA vs $865.00 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 |
|---|---|---|---|
| AETNA | PPO | $143.26 | ↓ -46% |
| AETNA | HMO | $143.26 | ↓ -46% |
| AETNA | MANAGED MEDICAID | $143.59 | ↓ -46% |
| KARNA | MEDICARE ADVANTAGE | $151.79 | ↓ -43% |
| CLOVER | MEDICARE ADVANTAGE | $155.70 | ↓ -42% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $157.85 | ↓ -41% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $199.82 | ↓ -25% |
| CIGNA | PPO | $214.67 | ↓ -20% |
| CIGNA | HMO | $214.67 | ↓ -20% |
| WELLCARE | MANAGED MEDICAID | $267.55 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $267.55 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $267.55 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $267.55 | ↑ +0% |
| VACCN | ALL PRODUCTS | $267.55 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $280.93 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $291.63 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $321.06 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $488.73 | ↑ +83% |
| UNITED HEALTHCARE | HMO | $488.73 | ↑ +83% |
| QUALCARE | HMO | $502.57 | ↑ +88% |
| HORIZON | WORKERS COMP | $625.05 | ↑ +134% |
| BEACON | ALL PRODUCTS | $648.75 | ↑ +142% |
| BERGEN RISK | ALL PRODUCTS | $648.75 | ↑ +142% |
| HORIZON | PIP | $659.13 | ↑ +146% |
| QUALCARE | PPO | $672.11 | ↑ +151% |
| AETNA | ASA | $677.30 | ↑ +153% |
| HORIZON | OMNIA | $686.29 | ↑ +157% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $692.00 | ↑ +159% |
| CIGNA | BH | $692.00 | ↑ +159% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $735.25 | ↑ +175% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $735.25 | ↑ +175% |
| AMERIHEALTH | LOCAL HMO | $755.66 | ↑ +182% |
| QUALCARE | WORKERS COMP | $761.20 | ↑ +185% |
| HORIZON | SHP | $839.66 | ↑ +214% |
| HORIZON | HMO | $844.07 | ↑ +215% |
| HORIZON | INDEMNITY | $853.32 | ↑ +219% |
| AMERIHEALTH | REGIONAL HMO | $855.83 | ↑ +220% |
| HORIZON | PPO | $865.00 | ↑ +223% |
| 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 |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $267.55 | $137.57 – $623.08 |
| Hackensack University Medical Center | Hackensack | $284.66 | $126.83 – $711.68 |
| Ocean University Medical Center | Brick | $264.17 | $137.57 – $264.17 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $267.78 | $159.40 – $659.90 |
| Palisades Medical Center | North Bergen | $284.66 | $130.18 – $623.08 |
| Raritan Bay Medical Center | Perth Amboy | $267.78 | $137.57 – $623.08 |
| Riverview Medical Center | Red Bank | $267.55 | $119.43 – $623.08 |
| Southern Ocean Medical Center | Manahawkin | $264.17 | $151.79 – $277.38 |