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Pelvic Ultrasound (complete) 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.
$1,293.00
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.
$115.03 with UNITED HEALTHCARE vs $1,163.70 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $115.03 | ↓ -2% |
| 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% |
| AMERIHEALTH | LOCAL HMO | $184.98 | ↑ +57% |
| AMERIHEALTH | REGIONAL HMO | $188.18 | ↑ +60% |
| AETNA | MANAGED MEDICAID | $212.05 | ↑ +80% |
| AETNA | PPO | $214.42 | ↑ +82% |
| AETNA | HMO | $214.42 | ↑ +82% |
| CLOVER | MEDICARE ADVANTAGE | $232.74 | ↑ +98% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $241.79 | ↑ +105% |
| CIGNA | PPO | $276.42 | ↑ +135% |
| CIGNA | HMO | $276.42 | ↑ +135% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +151% |
| OXFORD | ALL PRODUCTS | $295.04 | ↑ +151% |
| HORIZON | MANAGED MEDICAID | $787.31 | ↑ +569% |
| HORIZON | PIP | $833.99 | ↑ +609% |
| HORIZON | WORKERS COMP | $833.99 | ↑ +609% |
| HORIZON | OMNIA | $882.99 | ↑ +650% |
| BERGEN RISK | ALL PRODUCTS | $969.75 | ↑ +724% |
| QUALCARE | HMO | $1,004.66 | ↑ +754% |
| QUALCARE | PPO | $1,004.66 | ↑ +754% |
| AETNA | ASA | $1,012.42 | ↑ +760% |
| CIGNA | BH | $1,034.40 | ↑ +779% |
| HORIZON | SHP | $1,079.78 | ↑ +817% |
| HORIZON | HMO | $1,090.39 | ↑ +826% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,099.05 | ↑ +834% |
| HORIZON | INDEMNITY | $1,106.03 | ↑ +840% |
| HORIZON | PPO | $1,116.12 | ↑ +848% |
| QUALCARE | WORKERS COMP | $1,137.84 | ↑ +867% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,163.70 | ↑ +889% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Pelvic Ultrasound (complete) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $125.23 | $98.12 – $1,098.90 |
| Ocean University Medical Center | Brick | $116.22 | $106.34 – $1,163.70 |