X-ray mandible ltd <4 views 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.
$242.00
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.
$38.52 with UNITED HEALTHCARE vs $242.00 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 | $38.52 | ↓ -60% |
| AETNA | MANAGED MEDICAID | $40.17 | ↓ -59% |
| CLOVER | MEDICARE ADVANTAGE | $43.56 | ↓ -55% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $55.90 | ↓ -43% |
| AMERIHEALTH | LOCAL HMO | $58.64 | ↓ -40% |
| AMERIHEALTH | REGIONAL HMO | $59.66 | ↓ -39% |
| AETNA | PPO | $69.48 | ↓ -29% |
| AETNA | HMO | $69.48 | ↓ -29% |
| KARNA | MEDICARE ADVANTAGE | $71.87 | ↓ -26% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $97.46 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| VACCN | ALL PRODUCTS | $97.46 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $102.33 | ↑ +5% |
| CIGNA | HMO | $106.02 | ↑ +9% |
| CIGNA | PPO | $106.02 | ↑ +9% |
| AETNA | MEDICARE ADVANTAGE | $106.23 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $116.95 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $136.73 | ↑ +40% |
| OXFORD | ALL PRODUCTS | $136.73 | ↑ +40% |
| QUALCARE | HMO | $140.60 | ↑ +44% |
| HORIZON | WORKERS COMP | $174.87 | ↑ +79% |
| BEACON | ALL PRODUCTS | $181.50 | ↑ +86% |
| BERGEN RISK | ALL PRODUCTS | $181.50 | ↑ +86% |
| HORIZON | PIP | $184.40 | ↑ +89% |
| QUALCARE | PPO | $188.03 | ↑ +93% |
| AETNA | ASA | $189.49 | ↑ +94% |
| HORIZON | OMNIA | $192.00 | ↑ +97% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $193.60 | ↑ +99% |
| CIGNA | BH | $193.60 | ↑ +99% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $205.70 | ↑ +111% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $205.70 | ↑ +111% |
| QUALCARE | WORKERS COMP | $212.96 | ↑ +119% |
| HORIZON | SHP | $234.91 | ↑ +141% |
| HORIZON | HMO | $236.14 | ↑ +142% |
| HORIZON | INDEMNITY | $238.73 | ↑ +145% |
| HORIZON | PPO | $242.00 | ↑ +148% |
| 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 mandible ltd <4 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $80.52 | $20.34 – $192.46 |
| Community Medical Center | Toms River | $88.97 | $27.06 – $191.50 |
| Clara Maass Medical Center | Belleville | $49.32 | $27.06 – $196.59 |
| Newark Beth Israel Medical Center | Newark | $89.36 | $20.94 – $197.58 |
| Jersey City Medical Center | Jersey City | $89.14 | $26.32 – $206.34 |
| Bayshore Medical Center | Holmdel | $97.46 | $38.52 – $219.04 |
| Hackensack University Medical Center | Hackensack | $103.69 | $24.53 – $250.18 |
| Ocean University Medical Center | Brick | $96.23 | $38.52 – $106.02 |