X-ray hip with pelvis when performed bilateral 3-4 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.
$825.00
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.
$62.48 with UNITED HEALTHCARE vs $825.00 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 | $62.48 | ↓ -47% |
| AMERIHEALTH | LOCAL HMO | $85.63 | ↓ -27% |
| AMERIHEALTH | REGIONAL HMO | $87.11 | ↓ -26% |
| AETNA | PPO | $98.59 | ↓ -16% |
| AETNA | HMO | $98.59 | ↓ -16% |
| KARNA | MEDICARE ADVANTAGE | $99.39 | ↓ -16% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.59 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $128.30 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $136.95 | ↑ +16% |
| CIGNA | HMO | $140.57 | ↑ +19% |
| CIGNA | PPO | $140.57 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $148.50 | ↑ +26% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $190.58 | ↑ +62% |
| OXFORD | ALL PRODUCTS | $466.13 | ↑ +296% |
| UNITED HEALTHCARE | HMO | $466.13 | ↑ +296% |
| QUALCARE | HMO | $479.33 | ↑ +307% |
| HORIZON | WORKERS COMP | $596.15 | ↑ +406% |
| BERGEN RISK | ALL PRODUCTS | $618.75 | ↑ +426% |
| BEACON | ALL PRODUCTS | $618.75 | ↑ +426% |
| HORIZON | PIP | $628.65 | ↑ +434% |
| QUALCARE | PPO | $641.03 | ↑ +445% |
| AETNA | ASA | $645.98 | ↑ +449% |
| HORIZON | OMNIA | $654.56 | ↑ +456% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $660.00 | ↑ +461% |
| CIGNA | BH | $660.00 | ↑ +461% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $701.25 | ↑ +496% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $701.25 | ↑ +496% |
| QUALCARE | WORKERS COMP | $726.00 | ↑ +517% |
| HORIZON | SHP | $800.83 | ↑ +580% |
| HORIZON | HMO | $805.04 | ↑ +584% |
| HORIZON | INDEMNITY | $813.86 | ↑ +591% |
| HORIZON | PPO | $825.00 | ↑ +601% |
| 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 3-4 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $105.11 | $28.12 – $232.44 |
| Cooperman Barnabas Medical Center | Livingston | $134.76 | $44.38 – $238.62 |
| Community Medical Center | Toms River | $116.14 | $44.38 – $231.28 |
| Clara Maass Medical Center | Belleville | $146.19 | $44.38 – $237.43 |
| Childrens Specialized Hospital | Mountainside | $213.00 | $27.06 – $655.00 |
| Newark Beth Israel Medical Center | Newark | $132.47 | $28.95 – $238.62 |
| Jersey City Medical Center | Jersey City | $116.36 | $36.39 – $249.21 |
| Monmouth Medical Center | Long Branch | $122.52 | $44.38 – $234.22 |