Pt application of modality >=1 area ultrasound each 15 minutes at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$17.72
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.
?
What you pay up front if you don't use insurance.
$150.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$14.18 with OPTUM HEALTH vs $561.00 with OXFORD — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| OPTUM HEALTH | MANAGED MEDICAID | $14.18 | ↓ -20% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $17.72 | ↑ +0% |
| VACCN | ALL PRODUCTS | $17.72 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $17.72 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $18.61 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $19.31 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $21.26 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $23.36 | ↑ +32% |
| AETNA | MANAGED MEDICAID | $24.90 | ↑ +41% |
| CLOVER | MEDICARE ADVANTAGE | $27.00 | ↑ +52% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $34.65 | ↑ +96% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $34.80 | ↑ +96% |
| HORIZON | MANAGED MEDICAID | $60.00 | ↑ +239% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $88.35 | ↑ +399% |
| HORIZON | WORKERS COMP | $108.39 | ↑ +512% |
| AETNA | PPO | $110.25 | ↑ +522% |
| AETNA | HMO | $110.25 | ↑ +522% |
| HORIZON | PIP | $114.30 | ↑ +545% |
| QUALCARE | PPO | $116.55 | ↑ +558% |
| AETNA | ASA | $117.45 | ↑ +563% |
| HORIZON | OMNIA | $119.01 | ↑ +572% |
| CIGNA | BH | $120.00 | ↑ +577% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $127.50 | ↑ +620% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $127.50 | ↑ +620% |
| AMERIHEALTH | LOCAL HMO | $131.04 | ↑ +640% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $135.00 | ↑ +662% |
| QUALCARE | WORKERS COMP | $136.20 | ↑ +669% |
| CIGNA | HMO | $143.45 | ↑ +710% |
| CIGNA | PPO | $143.45 | ↑ +710% |
| HORIZON | SHP | $145.61 | ↑ +722% |
| HORIZON | HMO | $146.37 | ↑ +726% |
| HORIZON | INDEMNITY | $147.98 | ↑ +735% |
| AMERIHEALTH | REGIONAL HMO | $148.41 | ↑ +738% |
| HORIZON | PPO | $150.00 | ↑ +747% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +1164% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +1164% |
| BEACON | ALL PRODUCTS | $262.00 | ↑ +1379% |
| BERGEN RISK | ALL PRODUCTS | $291.00 | ↑ +1542% |
| QUALCARE | HMO | $306.00 | ↑ +1627% |
| UNITED HEALTHCARE | HMO | $367.00 | ↑ +1971% |
| OXFORD | ALL PRODUCTS | $561.00 | ↑ +3066% |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Pt application of modality >=1 area ultrasound each 15 minutes at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $57.00 | $237.00 – $394.00 |
| Bayshore Medical Center | Holmdel | $17.72 | $17.72 – $447.00 |
| Hackensack University Medical Center | Hackensack | $17.72 | $14.18 – $406.00 |
| Ocean University Medical Center | Brick | $17.72 | $17.72 – $525.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $17.72 | $17.72 – $525.00 |
| Palisades Medical Center | North Bergen | $17.72 | $10.36 – $558.00 |
| Raritan Bay Medical Center | Perth Amboy | $17.72 | $17.72 – $471.00 |
| Riverview Medical Center | Red Bank | $17.72 | $17.72 – $464.00 |