Ultrasound scrotum and contents 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.
$971.00
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.
$105.84 with AETNA vs $971.00 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 | HMO | $105.84 | ↓ -10% |
| AETNA | PPO | $105.84 | ↓ -10% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $115.03 | ↓ -2% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| HORIZON BCBS BRAVEN | 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% |
| AETNA | MANAGED MEDICAID | $161.19 | ↑ +37% |
| CLOVER | MEDICARE ADVANTAGE | $174.78 | ↑ +48% |
| AMERIHEALTH | LOCAL HMO | $175.93 | ↑ +49% |
| AMERIHEALTH | REGIONAL HMO | $178.97 | ↑ +52% |
| KARNA | MEDICARE ADVANTAGE | $183.68 | ↑ +56% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $224.30 | ↑ +91% |
| CIGNA | HMO | $267.77 | ↑ +128% |
| CIGNA | PPO | $267.77 | ↑ +128% |
| OXFORD | ALL PRODUCTS | $334.81 | ↑ +184% |
| UNITED HEALTHCARE | HMO | $334.81 | ↑ +184% |
| HORIZON | WORKERS COMP | $701.64 | ↑ +496% |
| BEACON | ALL PRODUCTS | $728.25 | ↑ +519% |
| BERGEN RISK | ALL PRODUCTS | $728.25 | ↑ +519% |
| HORIZON | PIP | $739.90 | ↑ +529% |
| QUALCARE | PPO | $754.47 | ↑ +541% |
| QUALCARE | HMO | $754.47 | ↑ +541% |
| AETNA | ASA | $760.29 | ↑ +546% |
| HORIZON | OMNIA | $770.39 | ↑ +555% |
| CIGNA | BH | $776.80 | ↑ +560% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $825.35 | ↑ +601% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $825.35 | ↑ +601% |
| QUALCARE | WORKERS COMP | $854.48 | ↑ +626% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $873.90 | ↑ +642% |
| HORIZON | SHP | $942.55 | ↑ +701% |
| HORIZON | HMO | $947.50 | ↑ +705% |
| HORIZON | INDEMNITY | $957.89 | ↑ +714% |
| HORIZON | PPO | $971.00 | ↑ +725% |
| 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 scrotum and contents at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $170.43 | $51.97 – $366.27 |
| Cooperman Barnabas Medical Center | Livingston | $192.40 | $84.79 – $366.27 |
| Community Medical Center | Toms River | $188.31 | $84.79 – $366.27 |
| Clara Maass Medical Center | Belleville | $273.68 | $84.79 – $366.27 |
| Newark Beth Israel Medical Center | Newark | $189.13 | $53.50 – $366.27 |
| Jersey City Medical Center | Jersey City | $188.68 | $67.25 – $366.27 |
| Monmouth Medical Center | Long Branch | $198.67 | $84.79 – $366.27 |
| Bayshore Medical Center | Holmdel | $117.70 | $101.64 – $295.04 |