Analysis gene f2 20210g>a variant at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$65.69
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.
$221.00
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.
$31.38 with AETNA vs $301.01 with CIGNA — 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 | MANAGED MEDICAID | $31.38 | ↓ -52% |
| HORIZON | MANAGED MEDICAID | $42.10 | ↓ -36% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $57.81 | ↓ -12% |
| AETNA | MEDICARE ADVANTAGE | $65.69 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $65.69 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $65.69 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $65.69 | ↑ +0% |
| VACCN | ALL PRODUCTS | $65.69 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $65.69 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $65.69 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $65.69 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $65.69 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $68.97 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $78.83 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $85.56 | ↑ +30% |
| QUALCARE | HMO | $109.62 | ↑ +67% |
| OXFORD | ALL PRODUCTS | $119.56 | ↑ +82% |
| UNITED HEALTHCARE | HMO | $134.83 | ↑ +105% |
| HORIZON | OMNIA | $143.96 | ↑ +119% |
| AETNA | PPO | $152.05 | ↑ +131% |
| AETNA | HMO | $152.05 | ↑ +131% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $154.70 | ↑ +136% |
| INTERGROUP | SHARED SAVINGS | $154.70 | ↑ +136% |
| INTERGROUP | WORKERS COMP | $154.70 | ↑ +136% |
| HORIZON | WORKERS COMP | $158.41 | ↑ +141% |
| BERGEN RISK | ALL PRODUCTS | $165.75 | ↑ +152% |
| QUALCARE | PPO | $170.83 | ↑ +160% |
| HORIZON | PIP | $170.83 | ↑ +160% |
| QUALCARE | WORKERS COMP | $170.83 | ↑ +160% |
| HORIZON | SHP | $172.31 | ↑ +162% |
| AETNA | ASA | $173.04 | ↑ +163% |
| PRIME HEALTH | WORKERS COMP | $176.80 | ↑ +169% |
| PRIME HEALTH | AUTO INSURANCE | $176.80 | ↑ +169% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $176.80 | ↑ +169% |
| HORIZON | HMO | $177.79 | ↑ +171% |
| HORIZON | INDEMNITY | $179.89 | ↑ +174% |
| HORIZON | PPO | $182.46 | ↑ +178% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $187.85 | ↑ +186% |
| AMERIHEALTH | LOCAL HMO | $189.88 | ↑ +189% |
| AMERIHEALTH | REGIONAL HMO | $215.08 | ↑ +227% |
| CIGNA | HMO | $301.01 | ↑ +358% |
| CIGNA | PPO | $301.01 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Analysis gene f2 20210g>a variant at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $65.69 | $65.69 – $301.01 |
| Hackensack University Medical Center | Hackensack | $65.69 | $24.62 – $294.98 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $65.69 | $57.81 – $309.15 |
| Jersey Shore University Medical Center | Neptune City | $65.69 | $52.55 – $301.01 |
| Palisades Medical Center | North Bergen | $65.69 | $27.16 – $301.01 |
| Raritan Bay Medical Center | Perth Amboy | $65.69 | $65.69 – $301.01 |
| Riverview Medical Center | Red Bank | $65.69 | $19.04 – $301.01 |
| Southern Ocean Medical Center | Manahawkin | $65.69 | $65.69 – $301.01 |