healthcosts.net
Annual Physical, New Patient (age 40-64) at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
not published by hospital
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.
$132.00
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.
$18.74 with AETNA vs $185.23 with KARNA — 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 | $18.74 | — |
| CLOVER | MEDICARE ADVANTAGE | $23.76 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $25.61 | — |
| AETNA | MEDICARE ADVANTAGE | $26.93 | — |
| AMERIGROUP | MEDICARE ADVANTAGE | $28.78 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $44.80 | — |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $66.00 | — |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $66.40 | — |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $73.79 | — |
| HORIZON | MANAGED MEDICAID | $78.51 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $79.20 | — |
| HORIZON | INDEMNITY | $80.39 | — |
| HORIZON | PIP | $80.39 | — |
| HORIZON | PPO | $80.39 | — |
| HORIZON | OMNIA | $80.39 | — |
| HORIZON | SHP | $80.39 | — |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $85.80 | — |
| OXFORD | ALL PRODUCTS | $86.80 | — |
| UNITED HEALTHCARE | HMO | $90.97 | — |
| INTERGROUP | SHARED SAVINGS | $92.40 | — |
| INTERGROUP | WORKERS COMP | $92.40 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $92.40 | — |
| HORIZON | WORKERS COMP | $94.62 | — |
| BERGEN RISK | ALL PRODUCTS | $99.00 | — |
| QUALCARE | HMO | $102.56 | — |
| QUALCARE | PPO | $102.56 | — |
| AETNA | ASA | $103.36 | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | — |
| PRIME HEALTH | WORKERS COMP | $105.60 | — |
| PRIME HEALTH | AUTO INSURANCE | $105.60 | — |
| HORIZON | HMO | $106.19 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $112.20 | — |
| AMERIHEALTH | LOCAL HMO | $113.41 | — |
| QUALCARE | WORKERS COMP | $116.16 | — |
| AETNA | PPO | $118.36 | — |
| AETNA | HMO | $118.36 | — |
| AMERIHEALTH | REGIONAL HMO | $128.46 | — |
| KARNA | MEDICARE ADVANTAGE | $185.23 | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Annual Physical, New Patient (age 40-64) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | not published | $21.65 – $118.80 |
| Hackensack University Medical Center | Hackensack | not published | $23.76 – $190.70 |