X-ray hip with pelvis when performed unilateral 1 view left 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.
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What you pay up front if you don't use insurance.
$397.00
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.
$37.88 with UNITED HEALTHCARE vs $397.00 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 | $37.88 | ↓ -61% |
| AMERIHEALTH | LOCAL HMO | $50.82 | ↓ -48% |
| AMERIHEALTH | REGIONAL HMO | $51.70 | ↓ -47% |
| AETNA | PPO | $59.09 | ↓ -39% |
| AETNA | HMO | $59.09 | ↓ -39% |
| KARNA | MEDICARE ADVANTAGE | $60.71 | ↓ -38% |
| AETNA | MANAGED MEDICAID | $65.90 | ↓ -32% |
| CLOVER | MEDICARE ADVANTAGE | $71.46 | ↓ -27% |
| CIGNA | PPO | $82.54 | ↓ -15% |
| CIGNA | HMO | $82.54 | ↓ -15% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $91.71 | ↓ -6% |
| 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% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $102.33 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $106.23 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $116.95 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $224.31 | ↑ +130% |
| OXFORD | ALL PRODUCTS | $224.31 | ↑ +130% |
| QUALCARE | HMO | $230.66 | ↑ +137% |
| HORIZON | WORKERS COMP | $286.87 | ↑ +194% |
| BERGEN RISK | ALL PRODUCTS | $297.75 | ↑ +206% |
| BEACON | ALL PRODUCTS | $297.75 | ↑ +206% |
| HORIZON | PIP | $302.51 | ↑ +210% |
| QUALCARE | PPO | $308.47 | ↑ +217% |
| AETNA | ASA | $310.85 | ↑ +219% |
| HORIZON | OMNIA | $314.98 | ↑ +223% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $317.60 | ↑ +226% |
| CIGNA | BH | $317.60 | ↑ +226% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $337.45 | ↑ +246% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $337.45 | ↑ +246% |
| QUALCARE | WORKERS COMP | $349.36 | ↑ +258% |
| HORIZON | SHP | $385.37 | ↑ +295% |
| HORIZON | HMO | $387.39 | ↑ +297% |
| HORIZON | INDEMNITY | $391.64 | ↑ +302% |
| HORIZON | PPO | $397.00 | ↑ +307% |
| 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 unilateral 1 view left at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $150.00 | $16.38 – $655.00 |
| Bayshore Medical Center | Holmdel | $97.46 | $37.88 – $219.04 |
| Hackensack University Medical Center | Hackensack | $103.69 | $24.35 – $250.18 |
| Ocean University Medical Center | Brick | $96.23 | $37.88 – $96.23 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $97.54 | $46.25 – $231.98 |
| Palisades Medical Center | North Bergen | $103.69 | $26.86 – $219.04 |
| Raritan Bay Medical Center | Perth Amboy | $97.54 | $36.86 – $219.04 |
| Riverview Medical Center | Red Bank | $97.46 | $22.93 – $219.04 |