Analysis tumor at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$187.28
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.
$441.00
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.
$35.68 with UNITED HEALTHCARE vs $429.18 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 →
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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 | $35.68 | ↓ -81% |
| AETNA | MANAGED MEDICAID | $62.62 | ↓ -67% |
| HORIZON | MANAGED MEDICAID | $84.01 | ↓ -55% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $85.55 | ↓ -54% |
| WELLCARE | MANAGED MEDICAID | $171.36 | ↓ -9% |
| VACCN | ALL PRODUCTS | $171.36 | ↓ -9% |
| AMERIGROUP | MEDICARE ADVANTAGE | $171.36 | ↓ -9% |
| WELLCARE | MEDICARE ADVANTAGE | $171.36 | ↓ -9% |
| AETNA | MEDICARE ADVANTAGE | $171.36 | ↓ -9% |
| HORIZON | MEDICARE ADVANTAGE | $171.36 | ↓ -9% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $179.93 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $187.28 | ↑ +0% |
| QUALCARE | HMO | $218.74 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $224.73 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $238.58 | ↑ +27% |
| KARNA | MEDICARE ADVANTAGE | $250.81 | ↑ +34% |
| HORIZON | OMNIA | $287.27 | ↑ +53% |
| AETNA | PPO | $303.41 | ↑ +62% |
| AETNA | HMO | $303.41 | ↑ +62% |
| UNITED HEALTHCARE | HMO | $306.15 | ↑ +63% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $308.70 | ↑ +65% |
| INTERGROUP | SHARED SAVINGS | $308.70 | ↑ +65% |
| INTERGROUP | WORKERS COMP | $308.70 | ↑ +65% |
| HORIZON | WORKERS COMP | $316.11 | ↑ +69% |
| BERGEN RISK | ALL PRODUCTS | $330.75 | ↑ +77% |
| QUALCARE | PPO | $340.89 | ↑ +82% |
| HORIZON | PIP | $340.89 | ↑ +82% |
| QUALCARE | WORKERS COMP | $340.89 | ↑ +82% |
| HORIZON | SHP | $343.85 | ↑ +84% |
| AETNA | ASA | $345.30 | ↑ +84% |
| PRIME HEALTH | AUTO INSURANCE | $352.80 | ↑ +88% |
| PRIME HEALTH | WORKERS COMP | $352.80 | ↑ +88% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $352.80 | ↑ +88% |
| HORIZON | HMO | $354.78 | ↑ +89% |
| HORIZON | INDEMNITY | $358.97 | ↑ +92% |
| HORIZON | PPO | $364.09 | ↑ +94% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $374.85 | ↑ +100% |
| AMERIHEALTH | LOCAL HMO | $378.91 | ↑ +102% |
| CIGNA | HMO | $421.73 | ↑ +125% |
| CIGNA | PPO | $421.73 | ↑ +125% |
| AMERIHEALTH | REGIONAL HMO | $429.18 | ↑ +129% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Analysis tumor at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $189.67 | $35.68 – $306.15 |
| Hackensack University Medical Center | Hackensack | $201.80 | $154.54 – $344.49 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $189.84 | $65.68 – $325.17 |
| Jersey Shore University Medical Center | Neptune City | $189.67 | $35.68 – $333.37 |
| Palisades Medical Center | North Bergen | $201.80 | $170.48 – $629.14 |
| Raritan Bay Medical Center | Perth Amboy | $189.84 | $35.68 – $306.15 |
| Riverview Medical Center | Red Bank | $189.67 | $35.68 – $306.15 |
| Southern Ocean Medical Center | Manahawkin | $187.28 | $35.68 – $250.81 |