X-ray heel/calcaneus > 2 views (both sides) 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$34.94 with UNITED HEALTHCARE vs $440.00 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $34.94 | ↓ -64% |
| AMERIHEALTH | LOCAL HMO | $50.82 | ↓ -48% |
| AMERIHEALTH | REGIONAL HMO | $51.70 | ↓ -47% |
| KARNA | MEDICARE ADVANTAGE | $52.72 | ↓ -46% |
| AETNA | PPO | $54.92 | ↓ -44% |
| AETNA | HMO | $54.92 | ↓ -44% |
| AETNA | MANAGED MEDICAID | $73.04 | ↓ -25% |
| CIGNA | PPO | $75.12 | ↓ -23% |
| CIGNA | HMO | $75.12 | ↓ -23% |
| CLOVER | MEDICARE ADVANTAGE | $79.20 | ↓ -19% |
| VACCN | ALL PRODUCTS | $97.46 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $97.46 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| OPTUM HEALTH | 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% |
| UNITED HEALTHCARE | HMO | $248.60 | ↑ +155% |
| OXFORD | ALL PRODUCTS | $248.60 | ↑ +155% |
| QUALCARE | HMO | $255.64 | ↑ +162% |
| HORIZON | WORKERS COMP | $317.94 | ↑ +226% |
| BERGEN RISK | ALL PRODUCTS | $330.00 | ↑ +239% |
| BEACON | 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% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $374.00 | ↑ +284% |
| ACTIVECARE FIRST MCO | 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 heel/calcaneus > 2 views (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $180.40 | $65.40 – $65.40 |
| Childrens Specialized Hospital | Mountainside | $162.00 | $13.45 – $655.00 |
| Bayshore Medical Center | Holmdel | $97.46 | $34.94 – $219.04 |
| Hackensack University Medical Center | Hackensack | $103.69 | $20.00 – $250.18 |
| Ocean University Medical Center | Brick | $96.23 | $34.94 – $96.23 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $97.54 | $46.25 – $231.98 |
| Palisades Medical Center | North Bergen | $103.69 | $22.06 – $219.04 |
| Raritan Bay Medical Center | Perth Amboy | $97.54 | $30.26 – $219.04 |