Ultrasound hips infant dynamic at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$97.46
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.
$685.00
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.
$97.46 with WELLCARE vs $685.00 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 |
|---|---|---|---|
| WELLCARE | MANAGED MEDICAID | $97.46 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| VACCN | ALL PRODUCTS | $97.46 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $97.46 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $102.33 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $106.23 | ↑ +9% |
| AETNA | MANAGED MEDICAID | $113.71 | ↑ +17% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $115.03 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $116.95 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $123.30 | ↑ +27% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $158.24 | ↑ +62% |
| AETNA | PPO | $173.39 | ↑ +78% |
| AETNA | HMO | $173.39 | ↑ +78% |
| AMERIHEALTH | LOCAL HMO | $201.34 | ↑ +107% |
| AMERIHEALTH | REGIONAL HMO | $204.82 | ↑ +110% |
| UNITED HEALTHCARE | HMO | $248.57 | ↑ +155% |
| OXFORD | ALL PRODUCTS | $248.57 | ↑ +155% |
| KARNA | MEDICARE ADVANTAGE | $249.64 | ↑ +156% |
| CIGNA | PPO | $388.80 | ↑ +299% |
| CIGNA | HMO | $388.80 | ↑ +299% |
| HORIZON | WORKERS COMP | $494.98 | ↑ +408% |
| BEACON | ALL PRODUCTS | $513.75 | ↑ +427% |
| BERGEN RISK | ALL PRODUCTS | $513.75 | ↑ +427% |
| HORIZON | PIP | $521.97 | ↑ +436% |
| QUALCARE | PPO | $532.25 | ↑ +446% |
| QUALCARE | HMO | $532.25 | ↑ +446% |
| AETNA | ASA | $536.36 | ↑ +450% |
| HORIZON | OMNIA | $543.48 | ↑ +458% |
| CIGNA | BH | $548.00 | ↑ +462% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $582.25 | ↑ +497% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $582.25 | ↑ +497% |
| QUALCARE | WORKERS COMP | $602.80 | ↑ +519% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $616.50 | ↑ +533% |
| HORIZON | SHP | $664.93 | ↑ +582% |
| HORIZON | HMO | $668.42 | ↑ +586% |
| HORIZON | INDEMNITY | $675.75 | ↑ +593% |
| HORIZON | PPO | $685.00 | ↑ +603% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound hips infant dynamic at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $198.21 | $63.96 – $525.85 |
| Cooperman Barnabas Medical Center | Livingston | $211.68 | $60.68 – $525.85 |
| Community Medical Center | Toms River | $219.01 | $60.68 – $525.85 |
| Clara Maass Medical Center | Belleville | $154.14 | $60.68 – $525.85 |
| Newark Beth Israel Medical Center | Newark | $208.09 | $60.68 – $525.85 |
| Jersey City Medical Center | Jersey City | $219.43 | $60.68 – $525.85 |
| Monmouth Medical Center | Long Branch | $231.05 | $60.68 – $525.85 |
| Bayshore Medical Center | Holmdel | $97.46 | $97.46 – $388.80 |