X-ray ribs w/posterior anterior chest > 4 views bilateral 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.
$855.00
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.
$67.43 with UNITED HEALTHCARE vs $855.00 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 | $67.43 | ↓ -43% |
| AETNA | HMO | $92.33 | ↓ -22% |
| AETNA | PPO | $92.33 | ↓ -22% |
| AMERIHEALTH | LOCAL HMO | $95.78 | ↓ -19% |
| KARNA | MEDICARE ADVANTAGE | $96.78 | ↓ -18% |
| AMERIHEALTH | REGIONAL HMO | $97.44 | ↓ -17% |
| 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 | $133.16 | ↑ +13% |
| CIGNA | HMO | $133.16 | ↑ +13% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $141.93 | ↑ +21% |
| CLOVER | MEDICARE ADVANTAGE | $153.90 | ↑ +31% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $197.51 | ↑ +68% |
| OXFORD | ALL PRODUCTS | $483.08 | ↑ +310% |
| UNITED HEALTHCARE | HMO | $483.08 | ↑ +310% |
| QUALCARE | HMO | $496.76 | ↑ +322% |
| HORIZON | WORKERS COMP | $617.82 | ↑ +425% |
| BEACON | ALL PRODUCTS | $641.25 | ↑ +445% |
| BERGEN RISK | ALL PRODUCTS | $641.25 | ↑ +445% |
| HORIZON | PIP | $651.51 | ↑ +454% |
| QUALCARE | PPO | $664.34 | ↑ +464% |
| AETNA | ASA | $669.47 | ↑ +469% |
| HORIZON | OMNIA | $678.36 | ↑ +476% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $684.00 | ↑ +481% |
| CIGNA | BH | $684.00 | ↑ +481% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $726.75 | ↑ +517% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $726.75 | ↑ +517% |
| QUALCARE | WORKERS COMP | $752.40 | ↑ +539% |
| HORIZON | SHP | $829.95 | ↑ +605% |
| HORIZON | HMO | $834.31 | ↑ +609% |
| HORIZON | INDEMNITY | $843.46 | ↑ +617% |
| HORIZON | PPO | $855.00 | ↑ +626% |
| 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 ribs w/posterior anterior chest > 4 views bilateral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $321.20 | $116.44 – $116.44 |
| Trinitas Regional Medical Center | Elizabeth | $156.35 | $27.38 – $232.44 |
| Cooperman Barnabas Medical Center | Livingston | $176.51 | $57.40 – $238.62 |
| Community Medical Center | Toms River | $172.76 | $57.40 – $231.28 |
| Clara Maass Medical Center | Belleville | $202.08 | $57.40 – $237.43 |
| Newark Beth Israel Medical Center | Newark | $173.51 | $28.18 – $238.62 |
| Jersey City Medical Center | Jersey City | $173.09 | $35.43 – $249.21 |
| Monmouth Medical Center | Long Branch | $182.26 | $57.40 – $234.22 |