Ultrasound joint complete left 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.
$715.00
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.
$96.52 with KARNA vs $643.50 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $96.52 | ↓ -17% |
| AETNA | MANAGED MEDICAID | $101.53 | ↓ -13% |
| AETNA | MEDICARE ADVANTAGE | $106.34 | ↓ -9% |
| HORIZON | MEDICARE ADVANTAGE | $106.34 | ↓ -9% |
| WELLCARE | MEDICARE ADVANTAGE | $106.34 | ↓ -9% |
| VACCN | ALL PRODUCTS | $106.34 | ↓ -9% |
| WELLCARE | MANAGED MEDICAID | $106.34 | ↓ -9% |
| AMERIGROUP | MEDICARE ADVANTAGE | $106.34 | ↓ -9% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $111.66 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $128.70 | ↑ +11% |
| CIGNA | PPO | $129.46 | ↑ +11% |
| CIGNA | HMO | $129.46 | ↑ +11% |
| HORIZON | MANAGED MEDICAID | $136.21 | ↑ +17% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $138.71 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $139.46 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $163.43 | ↑ +41% |
| AMERIHEALTH | LOCAL HMO | $165.09 | ↑ +42% |
| AMERIHEALTH | REGIONAL HMO | $167.95 | ↑ +45% |
| AETNA | PPO | $245.35 | ↑ +111% |
| AETNA | HMO | $245.35 | ↑ +111% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +154% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +154% |
| HORIZON | OMNIA | $465.75 | ↑ +301% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $500.50 | ↑ +331% |
| INTERGROUP | SHARED SAVINGS | $500.50 | ↑ +331% |
| INTERGROUP | WORKERS COMP | $500.50 | ↑ +331% |
| HORIZON | WORKERS COMP | $512.51 | ↑ +341% |
| BERGEN RISK | ALL PRODUCTS | $536.25 | ↑ +361% |
| QUALCARE | WORKERS COMP | $552.70 | ↑ +376% |
| HORIZON | PIP | $552.70 | ↑ +376% |
| QUALCARE | HMO | $552.70 | ↑ +376% |
| QUALCARE | PPO | $552.70 | ↑ +376% |
| HORIZON | SHP | $557.49 | ↑ +380% |
| AETNA | ASA | $559.85 | ↑ +382% |
| PRIME HEALTH | AUTO INSURANCE | $572.00 | ↑ +392% |
| PRIME HEALTH | WORKERS COMP | $572.00 | ↑ +392% |
| HORIZON | HMO | $575.22 | ↑ +395% |
| HORIZON | INDEMNITY | $582.01 | ↑ +401% |
| HORIZON | PPO | $590.30 | ↑ +408% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $607.75 | ↑ +423% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $643.50 | ↑ +454% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound joint complete left at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $272.00 | $51.04 – $51.04 |
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $295.04 |
| Hackensack University Medical Center | Hackensack | $125.23 | $75.88 – $337.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $99.97 – $312.47 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $96.52 – $334.81 |
| Palisades Medical Center | North Bergen | $125.23 | $83.71 – $295.04 |
| Raritan Bay Medical Center | Perth Amboy | $117.81 | $99.97 – $295.04 |
| Riverview Medical Center | Red Bank | $117.70 | $96.52 – $295.04 |