Ultrasound breast unilateral limited (both sides) at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$96.23
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.
$845.00
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.
$88.05 with AETNA vs $760.50 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 | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| VACCN | ALL PRODUCTS | $88.05 | ↓ -9% |
| AMERIGROUP | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| WELLCARE | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| WELLCARE | MANAGED MEDICAID | $88.05 | ↓ -9% |
| HORIZON | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $92.45 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $96.23 | ↑ +0% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $102.19 | ↑ +6% |
| UNITED HEALTHCARE | DSNP | $115.47 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $119.99 | ↑ +25% |
| BRIGHTON HEALTH PLAN | PNO | $128.96 | ↑ +34% |
| AMERIHEALTH | LOCAL HMO | $135.26 | ↑ +41% |
| AMERIHEALTH | REGIONAL HMO | $137.60 | ↑ +43% |
| CLOVER | MEDICARE ADVANTAGE | $152.10 | ↑ +58% |
| AETNA | HMO | $153.53 | ↑ +60% |
| AETNA | PPO | $153.53 | ↑ +60% |
| KARNA | MEDICARE ADVANTAGE | $155.60 | ↑ +62% |
| HORIZON | MANAGED MEDICAID | $160.97 | ↑ +67% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $163.93 | ↑ +70% |
| CIGNA | HMO | $197.39 | ↑ +105% |
| CIGNA | PPO | $197.39 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $219.04 | ↑ +128% |
| OXFORD | ALL PRODUCTS | $219.04 | ↑ +128% |
| HORIZON | OMNIA | $550.43 | ↑ +472% |
| INTERGROUP | WORKERS COMP | $591.50 | ↑ +515% |
| INTERGROUP | SHARED SAVINGS | $591.50 | ↑ +515% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $591.50 | ↑ +515% |
| HORIZON | WORKERS COMP | $605.70 | ↑ +529% |
| BERGEN RISK | ALL PRODUCTS | $633.75 | ↑ +559% |
| QUALCARE | WORKERS COMP | $653.19 | ↑ +579% |
| QUALCARE | PPO | $653.19 | ↑ +579% |
| QUALCARE | HMO | $653.19 | ↑ +579% |
| HORIZON | PIP | $653.19 | ↑ +579% |
| HORIZON | SHP | $658.85 | ↑ +585% |
| AETNA | ASA | $661.64 | ↑ +588% |
| PRIME HEALTH | WORKERS COMP | $676.00 | ↑ +602% |
| PRIME HEALTH | AUTO INSURANCE | $676.00 | ↑ +602% |
| HORIZON | HMO | $679.80 | ↑ +606% |
| HORIZON | INDEMNITY | $687.83 | ↑ +615% |
| HORIZON | PPO | $697.63 | ↑ +625% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $718.25 | ↑ +646% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $760.50 | ↑ +690% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound breast unilateral limited (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $97.46 | $97.46 – $219.04 |
| Hackensack University Medical Center | Hackensack | $103.69 | $58.78 – $250.18 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $97.54 | $88.05 – $219.04 |
| Jersey Shore University Medical Center | Neptune City | $97.46 | $97.46 – $248.57 |
| Palisades Medical Center | North Bergen | $103.69 | $64.85 – $219.04 |
| Raritan Bay Medical Center | Perth Amboy | $97.54 | $97.54 – $219.04 |
| Riverview Medical Center | Red Bank | $97.46 | $97.46 – $219.04 |
| Southern Ocean Medical Center | Manahawkin | $96.23 | $96.23 – $219.04 |