Echo exam of fetal heart at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$264.17
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.
$1,401.00
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.
$53.92 with UNITED HEALTHCARE vs $1,260.90 with BRIGHTON HEALTH PLAN — 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 | $53.92 | ↓ -80% |
| AMERIHEALTH | LOCAL HMO | $163.10 | ↓ -38% |
| AMERIHEALTH | REGIONAL HMO | $165.93 | ↓ -37% |
| AETNA | MANAGED MEDICAID | $198.94 | ↓ -25% |
| AETNA | MEDICARE ADVANTAGE | $241.72 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $241.72 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $241.72 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $241.72 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $241.72 | ↓ -8% |
| VACCN | ALL PRODUCTS | $241.72 | ↓ -8% |
| CLOVER | MEDICARE ADVANTAGE | $252.18 | ↓ -5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $253.81 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $264.17 | ↑ +0% |
| HORIZON | MANAGED MEDICAID | $266.89 | ↑ +1% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $271.79 | ↑ +3% |
| KARNA | MEDICARE ADVANTAGE | $288.43 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $317.01 | ↑ +20% |
| AETNA | HMO | $347.13 | ↑ +31% |
| AETNA | PPO | $347.13 | ↑ +31% |
| CIGNA | HMO | $452.81 | ↑ +71% |
| CIGNA | PPO | $452.81 | ↑ +71% |
| UNITED HEALTHCARE | HMO | $623.08 | ↑ +136% |
| OXFORD | ALL PRODUCTS | $623.08 | ↑ +136% |
| HORIZON | OMNIA | $912.61 | ↑ +245% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $980.70 | ↑ +271% |
| INTERGROUP | SHARED SAVINGS | $980.70 | ↑ +271% |
| INTERGROUP | WORKERS COMP | $980.70 | ↑ +271% |
| HORIZON | WORKERS COMP | $1,004.24 | ↑ +280% |
| BERGEN RISK | ALL PRODUCTS | $1,050.75 | ↑ +298% |
| QUALCARE | WORKERS COMP | $1,082.97 | ↑ +310% |
| HORIZON | PIP | $1,082.97 | ↑ +310% |
| QUALCARE | HMO | $1,082.97 | ↑ +310% |
| QUALCARE | PPO | $1,082.97 | ↑ +310% |
| HORIZON | SHP | $1,092.36 | ↑ +314% |
| AETNA | ASA | $1,096.98 | ↑ +315% |
| PRIME HEALTH | AUTO INSURANCE | $1,120.80 | ↑ +324% |
| PRIME HEALTH | WORKERS COMP | $1,120.80 | ↑ +324% |
| HORIZON | HMO | $1,127.10 | ↑ +327% |
| HORIZON | INDEMNITY | $1,140.41 | ↑ +332% |
| HORIZON | PPO | $1,156.67 | ↑ +338% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,190.85 | ↑ +351% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,260.90 | ↑ +377% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Echo exam of fetal heart at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $267.55 | $53.92 – $623.08 |
| Hackensack University Medical Center | Hackensack | $284.66 | $79.54 – $712.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $267.78 | $145.85 – $659.90 |
| Jersey Shore University Medical Center | Neptune City | $267.55 | $53.92 – $707.07 |
| Palisades Medical Center | North Bergen | $284.66 | $87.74 – $623.08 |
| Raritan Bay Medical Center | Perth Amboy | $267.78 | $53.92 – $623.08 |
| Riverview Medical Center | Red Bank | $267.55 | $53.92 – $623.08 |
| Southern Ocean Medical Center | Manahawkin | $264.17 | $53.92 – $452.81 |