Assay of galactose at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$11.20
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.
$934.00
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.
$11.20 with CLOVER vs $134.30 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $11.20 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $11.20 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $11.20 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $11.20 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $11.20 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $11.20 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $11.20 | ↑ +0% |
| VACCN | ALL PRODUCTS | $11.20 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $11.20 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $11.76 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $13.44 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $14.59 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $16.50 | ↑ +47% |
| AETNA | MANAGED MEDICAID | $19.60 | ↑ +75% |
| UNITED HEALTHCARE | HMO | $22.99 | ↑ +105% |
| HORIZON | MANAGED MEDICAID | $26.29 | ↑ +135% |
| CIGNA | HMO | $51.32 | ↑ +358% |
| CIGNA | PPO | $51.32 | ↑ +358% |
| QUALCARE | HMO | $68.45 | ↑ +511% |
| OXFORD | ALL PRODUCTS | $74.66 | ↑ +567% |
| HORIZON | OMNIA | $89.89 | ↑ +703% |
| AETNA | HMO | $94.94 | ↑ +748% |
| AETNA | PPO | $94.94 | ↑ +748% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $96.60 | ↑ +763% |
| INTERGROUP | SHARED SAVINGS | $96.60 | ↑ +763% |
| INTERGROUP | WORKERS COMP | $96.60 | ↑ +763% |
| HORIZON | WORKERS COMP | $98.92 | ↑ +783% |
| BERGEN RISK | ALL PRODUCTS | $103.50 | ↑ +824% |
| QUALCARE | PPO | $106.67 | ↑ +852% |
| HORIZON | PIP | $106.67 | ↑ +852% |
| QUALCARE | WORKERS COMP | $106.67 | ↑ +852% |
| HORIZON | SHP | $107.60 | ↑ +861% |
| AETNA | ASA | $108.05 | ↑ +865% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $110.40 | ↑ +886% |
| PRIME HEALTH | WORKERS COMP | $110.40 | ↑ +886% |
| PRIME HEALTH | AUTO INSURANCE | $110.40 | ↑ +886% |
| HORIZON | HMO | $111.02 | ↑ +891% |
| HORIZON | INDEMNITY | $112.33 | ↑ +903% |
| HORIZON | PPO | $113.93 | ↑ +917% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $117.30 | ↑ +947% |
| AMERIHEALTH | LOCAL HMO | $118.57 | ↑ +959% |
| AMERIHEALTH | REGIONAL HMO | $134.30 | ↑ +1099% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Assay of galactose at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $11.20 | $11.20 – $51.32 |
| Hackensack University Medical Center | Hackensack | $11.20 | $8.96 – $50.29 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $11.20 | $11.20 – $52.71 |
| Jersey Shore University Medical Center | Neptune City | $11.20 | $8.96 – $51.32 |
| Palisades Medical Center | North Bergen | $11.20 | $11.20 – $51.32 |
| Raritan Bay Medical Center | Perth Amboy | $11.20 | $11.20 – $51.32 |
| Riverview Medical Center | Red Bank | $11.20 | $11.20 – $51.32 |
| Southern Ocean Medical Center | Manahawkin | $11.20 | $11.20 – $51.32 |