healthcosts.net
Abdominal Ultrasound (complete) at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$116.22
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.
?
What you pay up front if you don't use insurance.
$1,362.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$106.34 with AMERIGROUP vs $1,225.80 with BRIGHTON HEALTH PLAN — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| AMERIGROUP | MEDICARE ADVANTAGE | $106.34 | ↓ -9% |
| HORIZON | MEDICARE ADVANTAGE | $106.34 | ↓ -9% |
| AETNA | MEDICARE ADVANTAGE | $106.34 | ↓ -9% |
| WELLCARE | MEDICARE ADVANTAGE | $106.34 | ↓ -9% |
| VACCN | ALL PRODUCTS | $106.34 | ↓ -9% |
| WELLCARE | MANAGED MEDICAID | $106.34 | ↓ -9% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $111.66 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $139.46 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $147.94 | ↑ +27% |
| AETNA | MANAGED MEDICAID | $193.40 | ↑ +66% |
| HORIZON | MANAGED MEDICAID | $211.65 | ↑ +82% |
| KARNA | MEDICARE ADVANTAGE | $213.41 | ↑ +84% |
| AMERIHEALTH | LOCAL HMO | $226.76 | ↑ +95% |
| AMERIHEALTH | REGIONAL HMO | $230.68 | ↑ +98% |
| AETNA | PPO | $232.38 | ↑ +100% |
| AETNA | HMO | $232.38 | ↑ +100% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $238.87 | ↑ +106% |
| CLOVER | MEDICARE ADVANTAGE | $245.16 | ↑ +111% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +154% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +154% |
| CIGNA | PPO | $299.87 | ↑ +158% |
| CIGNA | HMO | $299.87 | ↑ +158% |
| INTERGROUP | SHARED SAVINGS | $777.70 | ↑ +569% |
| INTERGROUP | WORKERS COMP | $777.70 | ↑ +569% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $777.70 | ↑ +569% |
| QUALCARE | HMO | $858.80 | ↑ +639% |
| QUALCARE | WORKERS COMP | $858.80 | ↑ +639% |
| QUALCARE | PPO | $858.80 | ↑ +639% |
| HORIZON | OMNIA | $887.21 | ↑ +663% |
| PRIME HEALTH | WORKERS COMP | $888.80 | ↑ +665% |
| PRIME HEALTH | AUTO INSURANCE | $888.80 | ↑ +665% |
| AETNA | ASA | $933.24 | ↑ +703% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $944.35 | ↑ +713% |
| HORIZON | WORKERS COMP | $976.28 | ↑ +740% |
| BERGEN RISK | ALL PRODUCTS | $1,021.50 | ↑ +779% |
| HORIZON | PIP | $1,052.83 | ↑ +806% |
| HORIZON | SHP | $1,061.95 | ↑ +814% |
| HORIZON | HMO | $1,095.73 | ↑ +843% |
| HORIZON | INDEMNITY | $1,108.67 | ↑ +854% |
| HORIZON | PPO | $1,124.47 | ↑ +868% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,225.80 | ↑ +955% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal Ultrasound (complete) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $1,225.80 |
| Hackensack University Medical Center | Hackensack | $125.23 | $98.12 – $999.90 |