healthcosts.net
Abdominal Ultrasound (limited) at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$117.70
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.
$996.00
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.
$106.67 with UNITED HEALTHCARE vs $896.40 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 | $106.67 | ↓ -9% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.59 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $128.30 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $163.34 | ↑ +39% |
| AMERIHEALTH | LOCAL HMO | $165.09 | ↑ +40% |
| AMERIHEALTH | REGIONAL HMO | $167.95 | ↑ +43% |
| AETNA | PPO | $175.50 | ↑ +49% |
| AETNA | HMO | $175.50 | ↑ +49% |
| CLOVER | MEDICARE ADVANTAGE | $179.28 | ↑ +52% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $186.25 | ↑ +58% |
| CIGNA | PPO | $225.77 | ↑ +92% |
| CIGNA | HMO | $225.77 | ↑ +92% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +151% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +151% |
| HORIZON | MANAGED MEDICAID | $606.46 | ↑ +415% |
| HORIZON | PIP | $642.42 | ↑ +446% |
| HORIZON | WORKERS COMP | $642.42 | ↑ +446% |
| HORIZON | OMNIA | $680.17 | ↑ +478% |
| BERGEN RISK | ALL PRODUCTS | $747.00 | ↑ +535% |
| QUALCARE | HMO | $773.89 | ↑ +558% |
| QUALCARE | PPO | $773.89 | ↑ +558% |
| AETNA | ASA | $779.87 | ↑ +563% |
| CIGNA | BH | $796.80 | ↑ +577% |
| HORIZON | SHP | $831.76 | ↑ +607% |
| HORIZON | HMO | $839.93 | ↑ +614% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $846.60 | ↑ +619% |
| HORIZON | INDEMNITY | $851.98 | ↑ +624% |
| HORIZON | PPO | $859.75 | ↑ +630% |
| QUALCARE | WORKERS COMP | $876.48 | ↑ +645% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $896.40 | ↑ +662% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal Ultrasound (limited) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $125.23 | $65.41 – $918.00 |
| Ocean University Medical Center | Brick | $116.22 | $106.34 – $896.40 |