Ultrasound exam k transpl w/doppler 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.
$798.00
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.
$101.25 with AETNA vs $641.70 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 | MANAGED MEDICAID | $101.25 | ↓ -13% |
| VACCN | ALL PRODUCTS | $106.34 | ↓ -9% |
| WELLCARE | MEDICARE ADVANTAGE | $106.34 | ↓ -9% |
| HORIZON | MEDICARE ADVANTAGE | $106.34 | ↓ -9% |
| WELLCARE | MANAGED MEDICAID | $106.34 | ↓ -9% |
| AMERIGROUP | MEDICARE ADVANTAGE | $106.34 | ↓ -9% |
| AETNA | MEDICARE ADVANTAGE | $106.34 | ↓ -9% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $111.66 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $128.34 | ↑ +10% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $138.32 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $139.46 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $152.02 | ↑ +31% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $167.78 | ↑ +44% |
| AMERIHEALTH | LOCAL HMO | $230.73 | ↑ +99% |
| AMERIHEALTH | REGIONAL HMO | $234.73 | ↑ +102% |
| KARNA | MEDICARE ADVANTAGE | $271.27 | ↑ +133% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +154% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +154% |
| AETNA | HMO | $337.15 | ↑ +190% |
| AETNA | PPO | $337.15 | ↑ +190% |
| CIGNA | HMO | $430.57 | ↑ +270% |
| CIGNA | PPO | $430.57 | ↑ +270% |
| HORIZON | OMNIA | $464.45 | ↑ +300% |
| HORIZON | WORKERS COMP | $511.08 | ↑ +340% |
| BERGEN RISK | ALL PRODUCTS | $534.75 | ↑ +360% |
| HORIZON | PIP | $551.15 | ↑ +374% |
| QUALCARE | PPO | $554.00 | ↑ +377% |
| QUALCARE | HMO | $554.00 | ↑ +377% |
| HORIZON | SHP | $555.93 | ↑ +378% |
| AETNA | ASA | $558.28 | ↑ +380% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $558.60 | ↑ +381% |
| INTERGROUP | WORKERS COMP | $558.60 | ↑ +381% |
| INTERGROUP | SHARED SAVINGS | $558.60 | ↑ +381% |
| HORIZON | HMO | $573.61 | ↑ +394% |
| HORIZON | INDEMNITY | $580.38 | ↑ +399% |
| HORIZON | PPO | $588.65 | ↑ +406% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $606.05 | ↑ +421% |
| QUALCARE | WORKERS COMP | $616.85 | ↑ +431% |
| PRIME HEALTH | AUTO INSURANCE | $638.40 | ↑ +449% |
| PRIME HEALTH | WORKERS COMP | $638.40 | ↑ +449% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $641.70 | ↑ +452% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound exam k transpl w/doppler at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $430.57 |
| Hackensack University Medical Center | Hackensack | $125.23 | $58.46 – $421.94 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $106.34 – $442.22 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $117.70 – $430.57 |
| Palisades Medical Center | North Bergen | $125.23 | $64.48 – $430.57 |
| Raritan Bay Medical Center | Perth Amboy | $117.81 | $117.81 – $430.57 |
| Riverview Medical Center | Red Bank | $117.70 | $117.70 – $430.57 |
| Southern Ocean Medical Center | Manahawkin | $116.22 | $116.22 – $430.57 |