Echo exam of fetal heart 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.
$630.00
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.
$104.58 with AETNA vs $630.00 with HORIZON — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $104.58 | ↓ -11% |
| CLOVER | MEDICARE ADVANTAGE | $113.40 | ↓ -4% |
| 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% |
| KARNA | MEDICARE ADVANTAGE | $128.10 | ↑ +9% |
| AETNA | MEDICARE ADVANTAGE | $128.30 | ↑ +9% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $130.55 | ↑ +11% |
| AETNA | PPO | $138.06 | ↑ +17% |
| AETNA | HMO | $138.06 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $145.53 | ↑ +24% |
| CIGNA | HMO | $165.29 | ↑ +40% |
| CIGNA | PPO | $165.29 | ↑ +40% |
| AMERIHEALTH | LOCAL HMO | $218.93 | ↑ +86% |
| AMERIHEALTH | REGIONAL HMO | $222.71 | ↑ +89% |
| UNITED HEALTHCARE | HMO | $334.81 | ↑ +184% |
| OXFORD | ALL PRODUCTS | $334.81 | ↑ +184% |
| HORIZON | WORKERS COMP | $455.24 | ↑ +287% |
| BERGEN RISK | ALL PRODUCTS | $472.50 | ↑ +301% |
| BEACON | ALL PRODUCTS | $472.50 | ↑ +301% |
| HORIZON | PIP | $480.06 | ↑ +308% |
| QUALCARE | HMO | $489.51 | ↑ +316% |
| QUALCARE | PPO | $489.51 | ↑ +316% |
| AETNA | ASA | $493.29 | ↑ +319% |
| HORIZON | OMNIA | $499.84 | ↑ +325% |
| CIGNA | BH | $504.00 | ↑ +328% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $535.50 | ↑ +355% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $535.50 | ↑ +355% |
| QUALCARE | WORKERS COMP | $554.40 | ↑ +371% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $567.00 | ↑ +382% |
| HORIZON | SHP | $611.54 | ↑ +420% |
| HORIZON | HMO | $614.75 | ↑ +422% |
| HORIZON | INDEMNITY | $621.50 | ↑ +428% |
| HORIZON | PPO | $630.00 | ↑ +435% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | 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 | $117.70 | $117.70 – $295.04 |
| Hackensack University Medical Center | Hackensack | $125.23 | $98.12 – $337.00 |
| Ocean University Medical Center | Brick | $116.22 | $106.34 – $295.04 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $106.34 – $312.47 |
| Palisades Medical Center | North Bergen | $125.23 | $108.24 – $295.04 |
| Raritan Bay Medical Center | Perth Amboy | $117.81 | $117.81 – $295.04 |
| Riverview Medical Center | Red Bank | $117.70 | $117.70 – $295.04 |
| Southern Ocean Medical Center | Manahawkin | $116.22 | $116.22 – $222.78 |