Ultrasound spinal canal 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.
$684.00
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.
$106.67 with UNITED HEALTHCARE vs $684.00 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 | $106.67 | ↓ -9% |
| AETNA | MANAGED MEDICAID | $113.54 | ↓ -4% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| VACCN | ALL PRODUCTS | $117.70 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $117.70 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $117.70 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $123.12 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $123.59 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $128.30 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $141.24 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $158.00 | ↑ +34% |
| AETNA | PPO | $173.39 | ↑ +47% |
| AETNA | HMO | $173.39 | ↑ +47% |
| AMERIHEALTH | LOCAL HMO | $228.70 | ↑ +94% |
| AMERIHEALTH | REGIONAL HMO | $232.66 | ↑ +98% |
| CIGNA | PPO | $309.76 | ↑ +163% |
| CIGNA | HMO | $309.76 | ↑ +163% |
| KARNA | MEDICARE ADVANTAGE | $317.41 | ↑ +170% |
| UNITED HEALTHCARE | HMO | $334.81 | ↑ +184% |
| OXFORD | ALL PRODUCTS | $334.81 | ↑ +184% |
| HORIZON | WORKERS COMP | $494.26 | ↑ +320% |
| BEACON | ALL PRODUCTS | $513.00 | ↑ +336% |
| BERGEN RISK | ALL PRODUCTS | $513.00 | ↑ +336% |
| HORIZON | PIP | $521.21 | ↑ +343% |
| QUALCARE | PPO | $531.47 | ↑ +352% |
| QUALCARE | HMO | $531.47 | ↑ +352% |
| AETNA | ASA | $535.57 | ↑ +355% |
| HORIZON | OMNIA | $542.69 | ↑ +361% |
| CIGNA | BH | $547.20 | ↑ +365% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $581.40 | ↑ +394% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $581.40 | ↑ +394% |
| QUALCARE | WORKERS COMP | $601.92 | ↑ +411% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $615.60 | ↑ +423% |
| HORIZON | SHP | $663.96 | ↑ +464% |
| HORIZON | HMO | $667.45 | ↑ +467% |
| HORIZON | INDEMNITY | $674.77 | ↑ +473% |
| HORIZON | PPO | $684.00 | ↑ +481% |
| 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 spinal canal and contents at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $171.37 | $87.17 – $581.64 |
| Cooperman Barnabas Medical Center | Livingston | $152.35 | $106.60 – $581.64 |
| Community Medical Center | Toms River | $189.35 | $106.60 – $581.64 |
| Clara Maass Medical Center | Belleville | $143.00 | $106.60 – $581.64 |
| Newark Beth Israel Medical Center | Newark | $149.76 | $89.73 – $581.64 |
| Jersey City Medical Center | Jersey City | $189.72 | $106.60 – $581.64 |
| Monmouth Medical Center | Long Branch | $199.76 | $106.60 – $581.64 |
| Bayshore Medical Center | Holmdel | $117.70 | $106.67 – $309.76 |