Aspirate/inj ganglion cyst 20612 at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$322.61
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.
$871.00
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.
$84.59 with KARNA vs $4,025.00 with AETNA — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $84.59 | ↓ -74% |
| AETNA | MANAGED MEDICAID | $123.68 | ↓ -62% |
| CLOVER | MEDICARE ADVANTAGE | $156.78 | ↓ -51% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $168.97 | ↓ -48% |
| HORIZON | MEDICARE ADVANTAGE | $295.19 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $295.19 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $295.19 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $295.19 | ↓ -8% |
| VACCN | ALL PRODUCTS | $295.19 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $295.19 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $309.95 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $322.61 | ↑ +0% |
| QUALCARE | HMO | $368.00 | ↑ +14% |
| UNITED HEALTHCARE | DSNP | $387.13 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $572.77 | ↑ +78% |
| INTERGROUP | WORKERS COMP | $585.90 | ↑ +82% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $585.90 | ↑ +82% |
| INTERGROUP | SHARED SAVINGS | $585.90 | ↑ +82% |
| UNITED HEALTHCARE | HMO | $600.29 | ↑ +86% |
| PRIME HEALTH | WORKERS COMP | $669.60 | ↑ +108% |
| PRIME HEALTH | AUTO INSURANCE | $669.60 | ↑ +108% |
| HORIZON | PIP | $673.28 | ↑ +109% |
| QUALCARE | PPO | $676.77 | ↑ +110% |
| AETNA | ASA | $681.99 | ↑ +111% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $711.45 | ↑ +121% |
| QUALCARE | WORKERS COMP | $766.48 | ↑ +138% |
| HORIZON | WORKERS COMP | $3,349.00 | ↑ +938% |
| AETNA | PPO | $4,025.00 | ↑ +1148% |
| AETNA | HMO | $4,025.00 | ↑ +1148% |
| HORIZON | SHP | not published by hospital | — |
| HORIZON | PPO | not published by hospital | — |
| HORIZON | OMNIA | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | INDEMNITY | not published by hospital | — |
| HORIZON | HMO | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | not published by hospital | — |
| BERGEN RISK | ALL PRODUCTS | not published by hospital | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIHEALTH | REGIONAL HMO | not published by hospital | — |
| AMERIHEALTH | LOCAL HMO | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Aspirate/inj ganglion cyst 20612 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $326.73 | $326.73 – $392.08 |
| Hackensack University Medical Center | Hackensack | $347.63 | $87.18 – $365.02 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $327.02 | $58.00 – $327.02 |
| Jersey Shore University Medical Center | Neptune City | $326.73 | $84.59 – $392.08 |
| Palisades Medical Center | North Bergen | $347.63 | $87.18 – $378.92 |
| Raritan Bay Medical Center | Perth Amboy | $327.02 | $72.50 – $795.00 |
| Riverview Medical Center | Red Bank | $326.73 | $84.59 – $392.08 |
| Southern Ocean Medical Center | Manahawkin | $322.61 | $84.59 – $387.13 |