Pelvic 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.
$1,221.00
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 $1,221.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $115.03 | ↓ -2% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $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% |
| AMERIHEALTH | LOCAL HMO | $181.79 | ↑ +54% |
| AMERIHEALTH | REGIONAL HMO | $184.93 | ↑ +57% |
| KARNA | MEDICARE ADVANTAGE | $193.42 | ↑ +64% |
| AETNA | MANAGED MEDICAID | $202.69 | ↑ +72% |
| CLOVER | MEDICARE ADVANTAGE | $219.78 | ↑ +87% |
| AETNA | PPO | $223.29 | ↑ +90% |
| AETNA | HMO | $223.29 | ↑ +90% |
| CIGNA | HMO | $276.42 | ↑ +135% |
| CIGNA | PPO | $276.42 | ↑ +135% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $282.05 | ↑ +140% |
| OXFORD | ALL PRODUCTS | $334.81 | ↑ +184% |
| UNITED HEALTHCARE | HMO | $334.81 | ↑ +184% |
| HORIZON | WORKERS COMP | $882.29 | ↑ +650% |
| BERGEN RISK | ALL PRODUCTS | $915.75 | ↑ +678% |
| BEACON | ALL PRODUCTS | $915.75 | ↑ +678% |
| HORIZON | PIP | $930.40 | ↑ +690% |
| QUALCARE | PPO | $948.72 | ↑ +706% |
| QUALCARE | HMO | $948.72 | ↑ +706% |
| AETNA | ASA | $956.04 | ↑ +712% |
| HORIZON | OMNIA | $968.74 | ↑ +723% |
| CIGNA | BH | $976.80 | ↑ +730% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,037.85 | ↑ +782% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,037.85 | ↑ +782% |
| QUALCARE | WORKERS COMP | $1,074.48 | ↑ +813% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,098.90 | ↑ +834% |
| HORIZON | SHP | $1,185.22 | ↑ +907% |
| HORIZON | HMO | $1,191.45 | ↑ +912% |
| HORIZON | INDEMNITY | $1,204.52 | ↑ +923% |
| HORIZON | PPO | $1,221.00 | ↑ +937% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pelvic Ultrasound (complete) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $213.60 | $54.72 – $381.91 |
| Cooperman Barnabas Medical Center | Livingston | $237.53 | $108.24 – $381.91 |
| Community Medical Center | Toms River | $236.02 | $108.24 – $381.91 |
| Clara Maass Medical Center | Belleville | $240.27 | $108.24 – $381.91 |
| Childrens Specialized Hospital | Mountainside | $363.00 | $66.00 – $66.00 |
| Newark Beth Israel Medical Center | Newark | $233.50 | $56.33 – $381.91 |
| Jersey City Medical Center | Jersey City | $236.47 | $70.82 – $381.91 |
| Monmouth Medical Center | Long Branch | $248.99 | $108.24 – $381.91 |