Kidney (Retroperitoneal) Ultrasound (complete) 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.
$1,037.00
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 $1,037.00 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 |
|---|---|---|---|
| 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% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $147.94 | ↑ +26% |
| AETNA | MANAGED MEDICAID | $172.14 | ↑ +46% |
| CLOVER | MEDICARE ADVANTAGE | $186.66 | ↑ +59% |
| KARNA | MEDICARE ADVANTAGE | $198.80 | ↑ +69% |
| AMERIHEALTH | LOCAL HMO | $216.98 | ↑ +84% |
| AMERIHEALTH | REGIONAL HMO | $220.73 | ↑ +88% |
| AETNA | HMO | $225.34 | ↑ +91% |
| AETNA | PPO | $225.34 | ↑ +91% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $239.55 | ↑ +104% |
| CIGNA | PPO | $278.87 | ↑ +137% |
| CIGNA | HMO | $278.87 | ↑ +137% |
| UNITED HEALTHCARE | HMO | $334.81 | ↑ +184% |
| OXFORD | ALL PRODUCTS | $334.81 | ↑ +184% |
| HORIZON | WORKERS COMP | $749.34 | ↑ +537% |
| BEACON | ALL PRODUCTS | $777.75 | ↑ +561% |
| BERGEN RISK | ALL PRODUCTS | $777.75 | ↑ +561% |
| HORIZON | PIP | $790.19 | ↑ +571% |
| QUALCARE | HMO | $805.75 | ↑ +585% |
| QUALCARE | PPO | $805.75 | ↑ +585% |
| AETNA | ASA | $811.97 | ↑ +590% |
| HORIZON | OMNIA | $822.76 | ↑ +599% |
| CIGNA | BH | $829.60 | ↑ +605% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $881.45 | ↑ +649% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $881.45 | ↑ +649% |
| QUALCARE | WORKERS COMP | $912.56 | ↑ +675% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $933.30 | ↑ +693% |
| HORIZON | SHP | $1,006.62 | ↑ +755% |
| HORIZON | HMO | $1,011.90 | ↑ +760% |
| HORIZON | INDEMNITY | $1,023.00 | ↑ +769% |
| HORIZON | PPO | $1,037.00 | ↑ +781% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Kidney (Retroperitoneal) Ultrasound (complete) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $186.57 | $56.25 – $383.64 |
| Cooperman Barnabas Medical Center | Livingston | $210.62 | $108.24 – $383.64 |
| Community Medical Center | Toms River | $206.15 | $108.24 – $383.64 |
| Clara Maass Medical Center | Belleville | $254.19 | $108.24 – $383.64 |
| Childrens Specialized Hospital | Mountainside | $363.00 | $66.00 – $66.00 |
| Newark Beth Israel Medical Center | Newark | $207.05 | $57.91 – $383.64 |
| Jersey City Medical Center | Jersey City | $206.55 | $72.80 – $383.64 |
| Monmouth Medical Center | Long Branch | $217.48 | $108.24 – $383.64 |