Anl sp inf pmp w/mdreprg&fil at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$327.77
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.
$939.00
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.
$0.01 with CIGNA vs $10,671.00 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 |
|---|---|---|---|
| CIGNA | PPO | $0.01 | ↓ -100% |
| CIGNA | HMO | $0.01 | ↓ -100% |
| KARNA | MEDICARE ADVANTAGE | $93.04 | ↓ -72% |
| AETNA | MANAGED MEDICAID | $133.34 | ↓ -59% |
| CLOVER | MEDICARE ADVANTAGE | $169.02 | ↓ -48% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $182.17 | ↓ -44% |
| HORIZON | MEDICARE ADVANTAGE | $299.91 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $299.91 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $299.91 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $299.91 | ↓ -8% |
| VACCN | ALL PRODUCTS | $299.91 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $299.91 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $314.91 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $327.77 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $393.32 | ↑ +20% |
| HORIZON | OMNIA | $611.66 | ↑ +87% |
| INTERGROUP | WORKERS COMP | $657.30 | ↑ +101% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $657.30 | ↑ +101% |
| INTERGROUP | SHARED SAVINGS | $657.30 | ↑ +101% |
| BERGEN RISK | ALL PRODUCTS | $704.25 | ↑ +115% |
| HORIZON | PIP | $725.85 | ↑ +121% |
| QUALCARE | PPO | $729.60 | ↑ +123% |
| HORIZON | SHP | $732.14 | ↑ +123% |
| AETNA | ASA | $735.24 | ↑ +124% |
| PRIME HEALTH | AUTO INSURANCE | $751.20 | ↑ +129% |
| PRIME HEALTH | WORKERS COMP | $751.20 | ↑ +129% |
| HORIZON | HMO | $755.43 | ↑ +130% |
| HORIZON | INDEMNITY | $764.35 | ↑ +133% |
| HORIZON | PPO | $775.24 | ↑ +137% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $798.15 | ↑ +144% |
| AMERIHEALTH | LOCAL HMO | $806.79 | ↑ +146% |
| QUALCARE | WORKERS COMP | $826.32 | ↑ +152% |
| AMERIHEALTH | REGIONAL HMO | $913.83 | ↑ +179% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +263% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↑ +381% |
| OXFORD | ALL PRODUCTS | $2,810.00 | ↑ +757% |
| UNITED HEALTHCARE | HMO | $3,454.00 | ↑ +954% |
| QUALCARE | HMO | $6,256.00 | ↑ +1809% |
| AETNA | PPO | $8,419.00 | ↑ +2469% |
| AETNA | HMO | $8,419.00 | ↑ +2469% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +2930% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +3156% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Anl sp inf pmp w/mdreprg&fil at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $331.96 | $331.96 – $398.35 |
| Hackensack University Medical Center | Hackensack | $353.19 | $95.61 – $370.85 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $332.25 | $95.61 – $332.25 |
| Jersey Shore University Medical Center | Neptune City | $331.96 | $93.04 – $398.35 |
| Palisades Medical Center | North Bergen | $353.19 | $95.61 – $384.98 |
| Raritan Bay Medical Center | Perth Amboy | $332.25 | $95.61 – $398.70 |
| Riverview Medical Center | Red Bank | $331.96 | $93.04 – $398.35 |
| Southern Ocean Medical Center | Manahawkin | $327.77 | $93.04 – $393.32 |