X-ray temporomandibular joint open/closed mouth bilateral 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.
$545.00
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.
$63.26 with UNITED HEALTHCARE vs $545.00 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 | $63.26 | ↓ -35% |
| AMERIHEALTH | LOCAL HMO | $84.05 | ↓ -14% |
| AMERIHEALTH | REGIONAL HMO | $85.51 | ↓ -12% |
| AETNA | MANAGED MEDICAID | $90.47 | ↓ -7% |
| WELLCARE | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $97.46 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| VACCN | ALL PRODUCTS | $97.46 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $97.71 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $98.10 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $102.33 | ↑ +5% |
| AETNA | PPO | $103.76 | ↑ +6% |
| AETNA | HMO | $103.76 | ↑ +6% |
| AETNA | MEDICARE ADVANTAGE | $106.23 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $116.95 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $125.90 | ↑ +29% |
| CIGNA | HMO | $150.46 | ↑ +54% |
| CIGNA | PPO | $150.46 | ↑ +54% |
| UNITED HEALTHCARE | HMO | $307.93 | ↑ +216% |
| OXFORD | ALL PRODUCTS | $307.93 | ↑ +216% |
| QUALCARE | HMO | $316.65 | ↑ +225% |
| HORIZON | WORKERS COMP | $393.82 | ↑ +304% |
| BEACON | ALL PRODUCTS | $408.75 | ↑ +319% |
| BERGEN RISK | ALL PRODUCTS | $408.75 | ↑ +319% |
| HORIZON | PIP | $415.29 | ↑ +326% |
| QUALCARE | PPO | $423.47 | ↑ +335% |
| AETNA | ASA | $426.74 | ↑ +338% |
| HORIZON | OMNIA | $432.40 | ↑ +344% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $436.00 | ↑ +347% |
| CIGNA | BH | $436.00 | ↑ +347% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $463.25 | ↑ +375% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $463.25 | ↑ +375% |
| QUALCARE | WORKERS COMP | $479.60 | ↑ +392% |
| HORIZON | SHP | $529.03 | ↑ +443% |
| HORIZON | HMO | $531.81 | ↑ +446% |
| HORIZON | INDEMNITY | $537.64 | ↑ +452% |
| HORIZON | PPO | $545.00 | ↑ +459% |
| 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 temporomandibular joint open/closed mouth bilateral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $91.59 | $27.64 – $216.91 |
| Cooperman Barnabas Medical Center | Livingston | $103.40 | $32.80 – $216.91 |
| Community Medical Center | Toms River | $101.21 | $32.80 – $216.91 |
| Clara Maass Medical Center | Belleville | $103.42 | $32.80 – $216.91 |
| Newark Beth Israel Medical Center | Newark | $101.65 | $28.46 – $216.91 |
| Jersey City Medical Center | Jersey City | $101.40 | $32.80 – $216.91 |
| Monmouth Medical Center | Long Branch | $106.77 | $32.80 – $216.91 |
| Bayshore Medical Center | Holmdel | $97.46 | $63.26 – $219.04 |