X-ray hip with pelvis when performed bilateral 2 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.
$484.00
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.
$52.50 with UNITED HEALTHCARE vs $484.00 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 | $52.50 | ↓ -55% |
| KARNA | MEDICARE ADVANTAGE | $76.07 | ↓ -35% |
| AMERIHEALTH | LOCAL HMO | $76.23 | ↓ -35% |
| AMERIHEALTH | REGIONAL HMO | $77.55 | ↓ -34% |
| AETNA | MANAGED MEDICAID | $80.34 | ↓ -32% |
| AETNA | PPO | $81.94 | ↓ -30% |
| AETNA | HMO | $81.94 | ↓ -30% |
| CLOVER | MEDICARE ADVANTAGE | $87.12 | ↓ -26% |
| CIGNA | PPO | $108.47 | ↓ -8% |
| CIGNA | HMO | $108.47 | ↓ -8% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $111.80 | ↓ -5% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| OPTUM HEALTH | 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% |
| UNITED HEALTHCARE | HMO | $273.46 | ↑ +132% |
| OXFORD | ALL PRODUCTS | $273.46 | ↑ +132% |
| QUALCARE | HMO | $281.20 | ↑ +139% |
| HORIZON | WORKERS COMP | $349.74 | ↑ +197% |
| BERGEN RISK | ALL PRODUCTS | $363.00 | ↑ +208% |
| BEACON | ALL PRODUCTS | $363.00 | ↑ +208% |
| HORIZON | PIP | $368.81 | ↑ +213% |
| QUALCARE | PPO | $376.07 | ↑ +220% |
| AETNA | ASA | $378.97 | ↑ +222% |
| HORIZON | OMNIA | $384.01 | ↑ +226% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $387.20 | ↑ +229% |
| CIGNA | BH | $387.20 | ↑ +229% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $411.40 | ↑ +250% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $411.40 | ↑ +250% |
| QUALCARE | WORKERS COMP | $425.92 | ↑ +262% |
| HORIZON | SHP | $469.82 | ↑ +299% |
| HORIZON | HMO | $472.29 | ↑ +301% |
| HORIZON | INDEMNITY | $477.47 | ↑ +306% |
| HORIZON | PPO | $484.00 | ↑ +311% |
| 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 hip with pelvis when performed bilateral 2 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $85.02 | $21.52 – $232.44 |
| Cooperman Barnabas Medical Center | Livingston | $118.24 | $36.00 – $238.62 |
| Community Medical Center | Toms River | $93.95 | $36.00 – $231.28 |
| Clara Maass Medical Center | Belleville | $128.88 | $36.00 – $237.43 |
| Childrens Specialized Hospital | Mountainside | $202.00 | $21.95 – $655.00 |
| Newark Beth Israel Medical Center | Newark | $116.23 | $22.16 – $238.62 |
| Jersey City Medical Center | Jersey City | $94.13 | $27.85 – $249.21 |
| Monmouth Medical Center | Long Branch | $99.11 | $36.00 – $234.22 |