Echo exam of fetal heart at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$606.89
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.
$1,106.00
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.
$147.94 with UNITED HEALTHCARE vs $1,483.68 with OXFORD — 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 | $147.94 | ↓ -76% |
| AETNA | MANAGED MEDICAID | $183.60 | ↓ -70% |
| CLOVER | MEDICARE ADVANTAGE | $199.08 | ↓ -67% |
| AMERIHEALTH | LOCAL HMO | $218.93 | ↓ -64% |
| AMERIHEALTH | REGIONAL HMO | $222.71 | ↓ -63% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $255.49 | ↓ -58% |
| KARNA | MEDICARE ADVANTAGE | $480.71 | ↓ -21% |
| AETNA | PPO | $574.38 | ↓ -5% |
| AETNA | HMO | $574.38 | ↓ -5% |
| VACCN | ALL PRODUCTS | $606.89 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $606.89 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $606.89 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $606.89 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $606.89 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $637.24 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $661.51 | ↑ +9% |
| CIGNA | PPO | $706.78 | ↑ +16% |
| CIGNA | HMO | $706.78 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $728.27 | ↑ +20% |
| HORIZON | WORKERS COMP | $799.20 | ↑ +32% |
| BEACON | ALL PRODUCTS | $829.50 | ↑ +37% |
| BERGEN RISK | ALL PRODUCTS | $829.50 | ↑ +37% |
| HORIZON | PIP | $842.77 | ↑ +39% |
| QUALCARE | HMO | $859.36 | ↑ +42% |
| QUALCARE | PPO | $859.36 | ↑ +42% |
| AETNA | ASA | $866.00 | ↑ +43% |
| HORIZON | OMNIA | $877.50 | ↑ +45% |
| CIGNA | BH | $884.80 | ↑ +46% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $940.10 | ↑ +55% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $940.10 | ↑ +55% |
| QUALCARE | WORKERS COMP | $973.28 | ↑ +60% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $995.40 | ↑ +64% |
| HORIZON | SHP | $1,073.59 | ↑ +77% |
| HORIZON | HMO | $1,079.23 | ↑ +78% |
| HORIZON | INDEMNITY | $1,091.07 | ↑ +80% |
| HORIZON | PPO | $1,106.00 | ↑ +82% |
| UNITED HEALTHCARE | HMO | $1,483.68 | ↑ +144% |
| OXFORD | ALL PRODUCTS | $1,483.68 | ↑ +144% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Echo exam of fetal heart at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $606.89 | $147.94 – $1,307.42 |
| Hackensack University Medical Center | Hackensack | $645.71 | $89.95 – $1,493.34 |
| Ocean University Medical Center | Brick | $599.23 | $147.94 – $1,307.42 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $607.42 | $199.21 – $1,384.69 |
| Palisades Medical Center | North Bergen | $645.71 | $99.22 – $1,307.42 |
| Raritan Bay Medical Center | Perth Amboy | $607.42 | $147.94 – $1,307.42 |
| Riverview Medical Center | Red Bank | $606.89 | $147.94 – $1,307.42 |
| Southern Ocean Medical Center | Manahawkin | $599.23 | $147.94 – $706.78 |