X-ray thoracic spine 3 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.
$715.00
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.
$55.36 with UNITED HEALTHCARE vs $715.00 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 | $55.36 | ↓ -53% |
| AETNA | HMO | $68.43 | ↓ -42% |
| AETNA | PPO | $68.43 | ↓ -42% |
| KARNA | MEDICARE ADVANTAGE | $72.94 | ↓ -38% |
| AMERIHEALTH | LOCAL HMO | $74.28 | ↓ -37% |
| AMERIHEALTH | REGIONAL HMO | $75.56 | ↓ -36% |
| CIGNA | HMO | $101.05 | ↓ -14% |
| CIGNA | PPO | $101.05 | ↓ -14% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $118.69 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.59 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $128.30 | ↑ +9% |
| CLOVER | MEDICARE ADVANTAGE | $128.70 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $165.17 | ↑ +40% |
| OXFORD | ALL PRODUCTS | $403.98 | ↑ +243% |
| UNITED HEALTHCARE | HMO | $403.98 | ↑ +243% |
| QUALCARE | HMO | $415.42 | ↑ +253% |
| HORIZON | WORKERS COMP | $516.66 | ↑ +339% |
| BEACON | ALL PRODUCTS | $536.25 | ↑ +356% |
| BERGEN RISK | ALL PRODUCTS | $536.25 | ↑ +356% |
| HORIZON | PIP | $544.83 | ↑ +363% |
| QUALCARE | PPO | $555.56 | ↑ +372% |
| AETNA | ASA | $559.85 | ↑ +376% |
| HORIZON | OMNIA | $567.28 | ↑ +382% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $572.00 | ↑ +386% |
| CIGNA | BH | $572.00 | ↑ +386% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $607.75 | ↑ +416% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $607.75 | ↑ +416% |
| QUALCARE | WORKERS COMP | $629.20 | ↑ +435% |
| HORIZON | SHP | $694.05 | ↑ +490% |
| HORIZON | HMO | $697.70 | ↑ +493% |
| HORIZON | INDEMNITY | $705.35 | ↑ +499% |
| HORIZON | PPO | $715.00 | ↑ +507% |
| 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 thoracic spine 3 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $269.60 | $97.73 – $97.73 |
| Trinitas Regional Medical Center | Elizabeth | $109.61 | $20.63 – $232.44 |
| Cooperman Barnabas Medical Center | Livingston | $193.88 | $32.80 – $238.62 |
| Community Medical Center | Toms River | $121.12 | $32.80 – $231.28 |
| Clara Maass Medical Center | Belleville | $161.10 | $32.80 – $237.43 |
| Newark Beth Israel Medical Center | Newark | $190.59 | $21.24 – $238.62 |
| Jersey City Medical Center | Jersey City | $121.35 | $26.70 – $249.21 |
| Monmouth Medical Center | Long Branch | $127.77 | $32.80 – $234.22 |