X-ray skull < 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.
$583.00
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.
$46.88 with UNITED HEALTHCARE vs $583.00 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 | $46.88 | ↓ -60% |
| KARNA | MEDICARE ADVANTAGE | $66.29 | ↓ -44% |
| AETNA | HMO | $68.43 | ↓ -42% |
| AETNA | PPO | $68.43 | ↓ -42% |
| CIGNA | HMO | $96.12 | ↓ -18% |
| CIGNA | PPO | $96.12 | ↓ -18% |
| AETNA | MANAGED MEDICAID | $96.78 | ↓ -18% |
| AMERIHEALTH | LOCAL HMO | $97.74 | ↓ -17% |
| AMERIHEALTH | REGIONAL HMO | $99.43 | ↓ -16% |
| CLOVER | MEDICARE ADVANTAGE | $104.94 | ↓ -11% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $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% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $134.67 | ↑ +14% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $329.40 | ↑ +180% |
| UNITED HEALTHCARE | HMO | $329.40 | ↑ +180% |
| QUALCARE | HMO | $338.72 | ↑ +188% |
| HORIZON | WORKERS COMP | $421.28 | ↑ +258% |
| BEACON | ALL PRODUCTS | $437.25 | ↑ +271% |
| BERGEN RISK | ALL PRODUCTS | $437.25 | ↑ +271% |
| HORIZON | PIP | $444.25 | ↑ +277% |
| QUALCARE | PPO | $452.99 | ↑ +285% |
| AETNA | ASA | $456.49 | ↑ +288% |
| HORIZON | OMNIA | $462.55 | ↑ +293% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $466.40 | ↑ +296% |
| CIGNA | BH | $466.40 | ↑ +296% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $495.55 | ↑ +321% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $495.55 | ↑ +321% |
| QUALCARE | WORKERS COMP | $513.04 | ↑ +336% |
| HORIZON | SHP | $565.92 | ↑ +381% |
| HORIZON | HMO | $568.89 | ↑ +383% |
| HORIZON | INDEMNITY | $575.13 | ↑ +389% |
| HORIZON | PPO | $583.00 | ↑ +395% |
| 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 skull < 4 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $95.16 | $18.76 – $232.44 |
| Cooperman Barnabas Medical Center | Livingston | $107.43 | $30.88 – $238.62 |
| Community Medical Center | Toms River | $105.15 | $30.88 – $231.28 |
| Clara Maass Medical Center | Belleville | $84.33 | $30.88 – $237.43 |
| Newark Beth Israel Medical Center | Newark | $105.60 | $19.31 – $238.62 |
| Jersey City Medical Center | Jersey City | $105.35 | $24.27 – $249.21 |
| Monmouth Medical Center | Long Branch | $110.93 | $30.88 – $234.22 |
| Bayshore Medical Center | Holmdel | $117.70 | $46.88 – $295.04 |