Aco annual medicare visit (awv), initial g0438aco at Ocean University Medical Center

425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126

Source: hospital's published price file ↗ · Published Dec 31, 2025 · Ingested Aug 13, 2026

$206.14

Cash price

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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.

$517.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$73.41 with AETNA vs $503.14 with AMERIHEALTH — 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 →

Payer
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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
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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 MANAGED MEDICAID $73.41 ↓ -64%
CLOVER MEDICARE ADVANTAGE $93.06 ↓ -55%
SEOUL MEDICAL GROUP ALL PRODUCTS $100.30 ↓ -51%
AETNA MEDICARE ADVANTAGE $206.14 ↑ +0%
VACCN ALL PRODUCTS $206.14 ↑ +0%
AMERIGROUP MANAGED MEDICAID $206.14 ↑ +0%
HORIZON MEDICARE ADVANTAGE $206.14 ↑ +0%
AMERIGROUP MEDICARE ADVANTAGE $206.14 ↑ +0%
WELLCARE MEDICARE ADVANTAGE $206.14 ↑ +0%
WELLCARE MANAGED MEDICAID $206.14 ↑ +0%
UNITED COMMUNITY/AMERICHOICE MEDICARE ADVANTAGE $216.45 ↑ +5%
UNITED HEALTHCARE DSNP $247.37 ↑ +20%
OXFORD - JRI@OUMC ALL PRODUCTS $260.05 ↑ +26%
UNITED HEALTHCARE - JRI@OUMC ALL PRODUCTS $289.00 ↑ +40%
KARNA MEDICARE ADVANTAGE $289.84 ↑ +41%
UNITED HEALTHCARE MANAGED MEDICAID $304.51 ↑ +48%
HORIZON MANAGED MEDICAID $307.51 ↑ +49%
HORIZON OMNIA $336.77 ↑ +63%
OXFORD ALL PRODUCTS $339.98 ↑ +65%
UNITED HEALTHCARE HMO $356.32 ↑ +73%
INTERGROUP WORKERS COMP $361.90 ↑ +76%
ACTIVECARE FIRST MCO ALL PRODUCTS $361.90 ↑ +76%
INTERGROUP SHARED SAVINGS $361.90 ↑ +76%
HORIZON WORKERS COMP $370.59 ↑ +80%
BERGEN RISK ALL PRODUCTS $387.75 ↑ +88%
HORIZON PIP $399.64 ↑ +94%
QUALCARE PPO $401.71 ↑ +95%
QUALCARE HMO $401.71 ↑ +95%
HORIZON SHP $403.10 ↑ +96%
AETNA ASA $404.81 ↑ +96%
PRIME HEALTH WORKERS COMP $413.60 ↑ +101%
PRIME HEALTH AUTO INSURANCE $413.60 ↑ +101%
HORIZON HMO $415.93 ↑ +102%
HORIZON INDEMNITY $420.84 ↑ +104%
HORIZON PPO $426.84 ↑ +107%
MULTIPLAN - PHCS ALL PRODUCTS $439.45 ↑ +113%
AMERIHEALTH LOCAL HMO $444.21 ↑ +115%
QUALCARE WORKERS COMP $454.96 ↑ +121%
AETNA HMO $463.59 ↑ +125%
AETNA PPO $463.59 ↑ +125%
BRIGHTON HEALTH PLAN ALL PRODUCTS $465.30 ↑ +126%
CIGNA PPO $494.41 ↑ +140%
CIGNA HMO $494.41 ↑ +140%
AMERIHEALTH REGIONAL HMO $503.14 ↑ +144%
HORIZON BCBS BRAVEN MEDICARE ADVANTAGE not published by hospital —

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Aco annual medicare visit (awv), initial g0438aco at other New-jersey hospitals

Hospital City Cash price Negotiated range
Bayshore Medical Center Holmdel $206.14 $206.14 – $247.37
Hackensack University Medical Center Hackensack $206.14 $164.91 – $300.52
JFK Johnson Rehabilitation Institute (JRI) Edison $206.14 $206.14 – $300.52
Jersey Shore University Medical Center Neptune City $206.14 $164.91 – $289.84
Palisades Medical Center North Bergen $206.14 $206.14 – $300.52
Raritan Bay Medical Center Perth Amboy $206.14 $206.14 – $300.52
Riverview Medical Center Red Bank $206.14 $206.14 – $289.84
Southern Ocean Medical Center Manahawkin $206.14 $206.14 – $289.84

All New-jersey hospitals for this procedure →