Apl(pml-rara) quant - sendout at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$207.31
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.
$1,387.00
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.
$64.61 with AETNA vs $949.97 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 | $64.61 | ↓ -69% |
| HORIZON | MANAGED MEDICAID | $86.68 | ↓ -58% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $182.44 | ↓ -12% |
| AETNA | MEDICARE ADVANTAGE | $207.31 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $207.31 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $207.31 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $207.31 | ↑ +0% |
| VACCN | ALL PRODUCTS | $207.31 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $207.31 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $207.31 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $207.31 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $207.31 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $217.68 | ↑ +5% |
| QUALCARE | HMO | $225.68 | ↑ +9% |
| OXFORD | ALL PRODUCTS | $246.16 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $248.77 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $270.02 | ↑ +30% |
| HORIZON | OMNIA | $296.39 | ↑ +43% |
| AETNA | PPO | $313.04 | ↑ +51% |
| AETNA | HMO | $313.04 | ↑ +51% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $318.50 | ↑ +54% |
| INTERGROUP | SHARED SAVINGS | $318.50 | ↑ +54% |
| INTERGROUP | WORKERS COMP | $318.50 | ↑ +54% |
| HORIZON | WORKERS COMP | $326.14 | ↑ +57% |
| BERGEN RISK | ALL PRODUCTS | $341.25 | ↑ +65% |
| QUALCARE | PPO | $351.72 | ↑ +70% |
| HORIZON | PIP | $351.72 | ↑ +70% |
| QUALCARE | WORKERS COMP | $351.72 | ↑ +70% |
| HORIZON | SHP | $354.76 | ↑ +71% |
| AETNA | ASA | $356.27 | ↑ +72% |
| PRIME HEALTH | WORKERS COMP | $364.00 | ↑ +76% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $364.00 | ↑ +76% |
| PRIME HEALTH | AUTO INSURANCE | $364.00 | ↑ +76% |
| HORIZON | HMO | $366.05 | ↑ +77% |
| HORIZON | INDEMNITY | $370.37 | ↑ +79% |
| HORIZON | PPO | $375.65 | ↑ +81% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $386.75 | ↑ +87% |
| AMERIHEALTH | LOCAL HMO | $390.94 | ↑ +89% |
| UNITED HEALTHCARE | HMO | $425.50 | ↑ +105% |
| AMERIHEALTH | REGIONAL HMO | $442.81 | ↑ +114% |
| CIGNA | HMO | $949.97 | ↑ +358% |
| CIGNA | PPO | $949.97 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Apl(pml-rara) quant - sendout at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $207.31 | $207.31 – $949.97 |
| Hackensack University Medical Center | Hackensack | $207.31 | $69.90 – $930.92 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $207.31 | $182.44 – $975.65 |
| Jersey Shore University Medical Center | Neptune City | $207.31 | $165.85 – $949.97 |
| Palisades Medical Center | North Bergen | $207.31 | $77.11 – $949.97 |
| Raritan Bay Medical Center | Perth Amboy | $207.31 | $207.31 – $949.97 |
| Riverview Medical Center | Red Bank | $207.31 | $54.07 – $949.97 |
| Southern Ocean Medical Center | Manahawkin | $207.31 | $207.31 – $949.97 |