healthcosts.net
Pelvic Ultrasound (limited) 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.
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What you pay up front if you don't use insurance.
$583.00
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.
$65.71 with AETNA vs $524.70 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 |
|---|---|---|---|
| AETNA | PPO | $65.71 | ↓ -43% |
| AETNA | HMO | $65.71 | ↓ -43% |
| HORIZON | MANAGED MEDICAID | $78.68 | ↓ -32% |
| AETNA | MANAGED MEDICAID | $82.79 | ↓ -29% |
| CIGNA | PPO | $87.47 | ↓ -25% |
| CIGNA | HMO | $87.47 | ↓ -25% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $88.80 | ↓ -24% |
| KARNA | MEDICARE ADVANTAGE | $89.93 | ↓ -23% |
| CLOVER | MEDICARE ADVANTAGE | $104.94 | ↓ -10% |
| 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% |
| AMERIHEALTH | LOCAL HMO | $115.37 | ↓ -1% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| AMERIHEALTH | REGIONAL HMO | $117.36 | ↑ +1% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $126.36 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $139.46 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $223.43 | ↑ +92% |
| OXFORD | ALL PRODUCTS | $223.43 | ↑ +92% |
| INTERGROUP | SHARED SAVINGS | $289.10 | ↑ +149% |
| INTERGROUP | WORKERS COMP | $289.10 | ↑ +149% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $289.10 | ↑ +149% |
| QUALCARE | HMO | $319.25 | ↑ +175% |
| QUALCARE | WORKERS COMP | $319.25 | ↑ +175% |
| QUALCARE | PPO | $319.25 | ↑ +175% |
| PRIME HEALTH | WORKERS COMP | $330.40 | ↑ +184% |
| PRIME HEALTH | AUTO INSURANCE | $330.40 | ↑ +184% |
| AETNA | ASA | $346.92 | ↑ +199% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $351.05 | ↑ +202% |
| HORIZON | OMNIA | $379.77 | ↑ +227% |
| HORIZON | WORKERS COMP | $417.89 | ↑ +260% |
| BERGEN RISK | ALL PRODUCTS | $437.25 | ↑ +276% |
| HORIZON | PIP | $450.66 | ↑ +288% |
| HORIZON | SHP | $454.57 | ↑ +291% |
| HORIZON | HMO | $469.02 | ↑ +304% |
| HORIZON | INDEMNITY | $474.56 | ↑ +308% |
| HORIZON | PPO | $481.32 | ↑ +314% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $524.70 | ↑ +351% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pelvic Ultrasound (limited) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $117.70 | $65.71 – $524.70 |
| Hackensack University Medical Center | Hackensack | $125.23 | $65.41 – $371.70 |