Duplex scan unilateral study 93986 at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$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.
$1,210.00
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.
$117.70 with HORIZON BCBS BRAVEN vs $1,733.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $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 | $200.86 | ↑ +71% |
| CLOVER | MEDICARE ADVANTAGE | $217.80 | ↑ +85% |
| KARNA | MEDICARE ADVANTAGE | $248.72 | ↑ +111% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $279.51 | ↑ +137% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $712.69 | ↑ +506% |
| HORIZON | MANAGED MEDICAID | $834.78 | ↑ +609% |
| HORIZON | WORKERS COMP | $874.35 | ↑ +643% |
| BEACON | ALL PRODUCTS | $907.50 | ↑ +671% |
| BERGEN RISK | ALL PRODUCTS | $907.50 | ↑ +671% |
| HORIZON | PIP | $922.02 | ↑ +683% |
| QUALCARE | PPO | $940.17 | ↑ +699% |
| QUALCARE | HMO | $940.17 | ↑ +699% |
| AETNA | ASA | $947.43 | ↑ +705% |
| HORIZON | OMNIA | $960.01 | ↑ +716% |
| CIGNA | BH | $968.00 | ↑ +722% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,028.50 | ↑ +774% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,028.50 | ↑ +774% |
| AMERIHEALTH | LOCAL HMO | $1,057.06 | ↑ +798% |
| QUALCARE | WORKERS COMP | $1,064.80 | ↑ +805% |
| AETNA | PPO | $1,089.00 | ↑ +825% |
| AETNA | HMO | $1,089.00 | ↑ +825% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,089.00 | ↑ +825% |
| CIGNA | PPO | $1,157.12 | ↑ +883% |
| CIGNA | HMO | $1,157.12 | ↑ +883% |
| HORIZON | SHP | $1,174.55 | ↑ +898% |
| HORIZON | HMO | $1,180.72 | ↑ +903% |
| HORIZON | INDEMNITY | $1,193.67 | ↑ +914% |
| AMERIHEALTH | REGIONAL HMO | $1,197.17 | ↑ +917% |
| HORIZON | PPO | $1,210.00 | ↑ +928% |
| OXFORD | ALL PRODUCTS | $1,271.00 | ↑ +980% |
| UNITED HEALTHCARE | HMO | $1,733.00 | ↑ +1372% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Duplex scan unilateral study 93986 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $117.70 | $117.70 – $1,207.00 |
| Hackensack University Medical Center | Hackensack | $125.23 | $100.19 – $4,324.00 |
| Ocean University Medical Center | Brick | $116.22 | $106.34 – $1,179.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $106.34 – $1,573.00 |
| Palisades Medical Center | North Bergen | $125.23 | $125.23 – $2,744.00 |
| Raritan Bay Medical Center | Perth Amboy | $117.81 | $117.81 – $1,190.00 |
| Riverview Medical Center | Red Bank | $117.70 | $117.70 – $1,036.00 |
| Southern Ocean Medical Center | Manahawkin | $116.22 | $116.22 – $1,114.00 |