X-ray lumbosacral spine >= 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.
$935.00
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.
$68.87 with UNITED HEALTHCARE vs $935.00 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 | $68.87 | ↓ -41% |
| KARNA | MEDICARE ADVANTAGE | $95.78 | ↓ -19% |
| AETNA | HMO | $96.50 | ↓ -18% |
| AETNA | PPO | $96.50 | ↓ -18% |
| AMERIHEALTH | LOCAL HMO | $97.74 | ↓ -17% |
| AMERIHEALTH | REGIONAL HMO | $99.43 | ↓ -16% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| 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% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.59 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $128.30 | ↑ +9% |
| CIGNA | PPO | $136.88 | ↑ +16% |
| CIGNA | HMO | $136.88 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $155.21 | ↑ +32% |
| CLOVER | MEDICARE ADVANTAGE | $168.30 | ↑ +43% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $215.99 | ↑ +84% |
| OXFORD | ALL PRODUCTS | $528.28 | ↑ +349% |
| UNITED HEALTHCARE | HMO | $528.28 | ↑ +349% |
| QUALCARE | HMO | $543.24 | ↑ +362% |
| HORIZON | WORKERS COMP | $675.63 | ↑ +474% |
| BEACON | ALL PRODUCTS | $701.25 | ↑ +496% |
| BERGEN RISK | ALL PRODUCTS | $701.25 | ↑ +496% |
| HORIZON | PIP | $712.47 | ↑ +505% |
| QUALCARE | PPO | $726.50 | ↑ +517% |
| AETNA | ASA | $732.11 | ↑ +522% |
| HORIZON | OMNIA | $741.83 | ↑ +530% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $748.00 | ↑ +536% |
| CIGNA | BH | $748.00 | ↑ +536% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $794.75 | ↑ +575% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $794.75 | ↑ +575% |
| QUALCARE | WORKERS COMP | $822.80 | ↑ +599% |
| HORIZON | SHP | $907.60 | ↑ +671% |
| HORIZON | HMO | $912.37 | ↑ +675% |
| HORIZON | INDEMNITY | $922.38 | ↑ +684% |
| HORIZON | PPO | $935.00 | ↑ +694% |
| 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 lumbosacral spine >= 4 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $407.60 | $147.76 – $147.76 |
| Trinitas Regional Medical Center | Elizabeth | $147.90 | $27.10 – $232.44 |
| Cooperman Barnabas Medical Center | Livingston | $166.97 | $45.10 – $238.62 |
| Community Medical Center | Toms River | $163.43 | $45.10 – $231.28 |
| Clara Maass Medical Center | Belleville | $156.73 | $45.10 – $237.43 |
| Childrens Specialized Hospital | Mountainside | $197.50 | $27.50 – $655.00 |
| Newark Beth Israel Medical Center | Newark | $164.14 | $27.90 – $238.62 |
| Jersey City Medical Center | Jersey City | $163.74 | $35.07 – $249.21 |