Biopsy/soft tissue/neck or thorax 21550 at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$1,770.73
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.
?
What you pay up front if you don't use insurance.
$3,671.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$325.74 with KARNA vs $10,671.00 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $325.74 | ↓ -82% |
| AETNA | MANAGED MEDICAID | $489.19 | ↓ -72% |
| CLOVER | MEDICARE ADVANTAGE | $620.10 | ↓ -65% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $668.33 | ↓ -62% |
| HORIZON | MANAGED MEDICAID | $848.00 | ↓ -52% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -33% |
| HORIZON | MEDICARE ADVANTAGE | $1,620.24 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $1,620.24 | ↓ -8% |
| VACCN | ALL PRODUCTS | $1,620.24 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,620.24 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $1,620.24 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $1,620.24 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,701.25 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,770.73 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $2,124.87 | ↑ +20% |
| HORIZON | OMNIA | $2,244.07 | ↑ +27% |
| CIGNA | HMO | $2,248.00 | ↑ +27% |
| CIGNA | PPO | $2,519.00 | ↑ +42% |
| INTERGROUP | SHARED SAVINGS | $2,569.70 | ↑ +45% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,569.70 | ↑ +45% |
| INTERGROUP | WORKERS COMP | $2,569.70 | ↑ +45% |
| BERGEN RISK | ALL PRODUCTS | $2,583.75 | ↑ +46% |
| HORIZON | PIP | $2,662.99 | ↑ +50% |
| QUALCARE | PPO | $2,676.77 | ↑ +51% |
| HORIZON | SHP | $2,686.07 | ↑ +52% |
| AETNA | ASA | $2,697.44 | ↑ +52% |
| HORIZON | HMO | $2,771.50 | ↑ +57% |
| HORIZON | INDEMNITY | $2,804.23 | ↑ +58% |
| HORIZON | PPO | $2,844.19 | ↑ +61% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,928.25 | ↑ +65% |
| PRIME HEALTH | AUTO INSURANCE | $2,936.80 | ↑ +66% |
| PRIME HEALTH | WORKERS COMP | $2,936.80 | ↑ +66% |
| AMERIHEALTH | LOCAL HMO | $2,959.94 | ↑ +67% |
| QUALCARE | WORKERS COMP | $3,031.60 | ↑ +71% |
| AMERIHEALTH | REGIONAL HMO | $3,352.67 | ↑ +89% |
| AETNA | PPO | $4,025.00 | ↑ +127% |
| AETNA | HMO | $4,025.00 | ↑ +127% |
| OXFORD | ALL PRODUCTS | $6,137.00 | ↑ +247% |
| QUALCARE | HMO | $6,256.00 | ↑ +253% |
| UNITED HEALTHCARE | HMO | $7,714.00 | ↑ +336% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +461% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +503% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy/soft tissue/neck or thorax 21550 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,793.38 | $1,793.38 – $2,152.05 |
| Hackensack University Medical Center | Hackensack | $1,908.09 | $337.70 – $2,003.50 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,794.93 | $54.60 – $1,794.93 |
| Jersey Shore University Medical Center | Neptune City | $1,793.38 | $325.74 – $2,152.05 |
| Palisades Medical Center | North Bergen | $1,908.09 | $337.70 – $2,079.82 |
| Raritan Bay Medical Center | Perth Amboy | $1,794.93 | $337.70 – $2,153.92 |
| Riverview Medical Center | Red Bank | $1,793.38 | $325.74 – $2,152.05 |
| Southern Ocean Medical Center | Manahawkin | $1,770.73 | $325.74 – $2,124.87 |