X-ray surgical specimen at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$606.89
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.
$1,375.00
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.
$24.79 with AETNA vs $1,375.00 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 |
|---|---|---|---|
| AETNA | HMO | $24.79 | ↓ -96% |
| AETNA | PPO | $24.79 | ↓ -96% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $31.34 | ↓ -95% |
| AMERIHEALTH | LOCAL HMO | $44.96 | ↓ -93% |
| AMERIHEALTH | REGIONAL HMO | $45.74 | ↓ -92% |
| KARNA | MEDICARE ADVANTAGE | $78.21 | ↓ -87% |
| CIGNA | PPO | $96.12 | ↓ -84% |
| CIGNA | HMO | $96.12 | ↓ -84% |
| AETNA | MANAGED MEDICAID | $228.25 | ↓ -62% |
| CLOVER | MEDICARE ADVANTAGE | $247.50 | ↓ -59% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $317.63 | ↓ -48% |
| VACCN | ALL PRODUCTS | $606.89 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $606.89 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $606.89 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $606.89 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $606.89 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $637.24 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $661.51 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $728.27 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $776.88 | ↑ +28% |
| UNITED HEALTHCARE | HMO | $776.88 | ↑ +28% |
| QUALCARE | HMO | $798.88 | ↑ +32% |
| HORIZON | WORKERS COMP | $993.58 | ↑ +64% |
| BEACON | ALL PRODUCTS | $1,031.25 | ↑ +70% |
| BERGEN RISK | ALL PRODUCTS | $1,031.25 | ↑ +70% |
| HORIZON | PIP | $1,047.75 | ↑ +73% |
| QUALCARE | PPO | $1,068.38 | ↑ +76% |
| AETNA | ASA | $1,076.63 | ↑ +77% |
| HORIZON | OMNIA | $1,090.93 | ↑ +80% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,100.00 | ↑ +81% |
| CIGNA | BH | $1,100.00 | ↑ +81% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,168.75 | ↑ +93% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,168.75 | ↑ +93% |
| QUALCARE | WORKERS COMP | $1,210.00 | ↑ +99% |
| HORIZON | SHP | $1,334.71 | ↑ +120% |
| HORIZON | HMO | $1,341.73 | ↑ +121% |
| HORIZON | INDEMNITY | $1,356.44 | ↑ +124% |
| HORIZON | PPO | $1,375.00 | ↑ +127% |
| 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 surgical specimen at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $151.66 | $22.13 – $1,198.46 |
| Cooperman Barnabas Medical Center | Livingston | $171.21 | $19.88 – $1,230.30 |
| Community Medical Center | Toms River | $167.57 | $19.88 – $1,192.47 |
| Clara Maass Medical Center | Belleville | $201.08 | $19.88 – $1,224.15 |
| Newark Beth Israel Medical Center | Newark | $168.30 | $19.88 – $1,230.30 |
| Jersey City Medical Center | Jersey City | $167.90 | $19.88 – $1,284.96 |
| Monmouth Medical Center | Long Branch | $176.79 | $24.60 – $1,207.71 |
| Bayshore Medical Center | Holmdel | $606.89 | $23.80 – $1,307.42 |