X-ray exam si joints 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.
$385.00
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.
$38.52 with UNITED HEALTHCARE vs $385.00 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 | $38.52 | ↓ -67% |
| AMERIHEALTH | LOCAL HMO | $56.69 | ↓ -52% |
| AETNA | HMO | $57.00 | ↓ -52% |
| AETNA | PPO | $57.00 | ↓ -52% |
| AMERIHEALTH | REGIONAL HMO | $57.67 | ↓ -51% |
| KARNA | MEDICARE ADVANTAGE | $61.37 | ↓ -48% |
| AETNA | MANAGED MEDICAID | $63.91 | ↓ -46% |
| CLOVER | MEDICARE ADVANTAGE | $69.30 | ↓ -41% |
| CIGNA | HMO | $88.71 | ↓ -25% |
| CIGNA | PPO | $88.71 | ↓ -25% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $88.94 | ↓ -24% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.59 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $128.30 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $217.53 | ↑ +85% |
| UNITED HEALTHCARE | HMO | $217.53 | ↑ +85% |
| QUALCARE | HMO | $223.69 | ↑ +90% |
| HORIZON | WORKERS COMP | $278.20 | ↑ +136% |
| BEACON | ALL PRODUCTS | $288.75 | ↑ +145% |
| BERGEN RISK | ALL PRODUCTS | $288.75 | ↑ +145% |
| HORIZON | PIP | $293.37 | ↑ +149% |
| QUALCARE | PPO | $299.15 | ↑ +154% |
| AETNA | ASA | $301.46 | ↑ +156% |
| HORIZON | OMNIA | $305.46 | ↑ +160% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $308.00 | ↑ +162% |
| CIGNA | BH | $308.00 | ↑ +162% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $327.25 | ↑ +178% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $327.25 | ↑ +178% |
| QUALCARE | WORKERS COMP | $338.80 | ↑ +188% |
| HORIZON | SHP | $373.72 | ↑ +218% |
| HORIZON | HMO | $375.68 | ↑ +219% |
| HORIZON | INDEMNITY | $379.80 | ↑ +223% |
| HORIZON | PPO | $385.00 | ↑ +227% |
| 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 si joints at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $66.25 | $17.36 – $232.44 |
| Community Medical Center | Toms River | $73.21 | $32.80 – $231.28 |
| Newark Beth Israel Medical Center | Newark | $74.98 | $17.87 – $238.62 |
| Jersey City Medical Center | Jersey City | $73.35 | $22.47 – $249.21 |
| Bayshore Medical Center | Holmdel | $117.70 | $38.52 – $295.04 |
| Hackensack University Medical Center | Hackensack | $125.23 | $29.73 – $336.99 |
| Ocean University Medical Center | Brick | $116.22 | $38.52 – $116.22 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $51.58 – $312.47 |