Biopsy tongue anterior two-thirds at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$556.55
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.
$2,263.00
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.
$224.75 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 | $224.75 | ↓ -60% |
| AETNA | MANAGED MEDICAID | $321.35 | ↓ -42% |
| CLOVER | MEDICARE ADVANTAGE | $407.34 | ↓ -27% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $439.02 | ↓ -21% |
| VACCN | ALL PRODUCTS | $509.25 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $509.25 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $509.25 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $509.25 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $509.25 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $509.25 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $534.71 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $556.55 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $667.86 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +114% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,465.80 | ↑ +163% |
| INTERGROUP | SHARED SAVINGS | $1,465.80 | ↑ +163% |
| INTERGROUP | WORKERS COMP | $1,465.80 | ↑ +163% |
| HORIZON | OMNIA | $1,474.12 | ↑ +165% |
| BERGEN RISK | ALL PRODUCTS | $1,570.50 | ↑ +182% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↑ +183% |
| PRIME HEALTH | WORKERS COMP | $1,675.20 | ↑ +201% |
| PRIME HEALTH | AUTO INSURANCE | $1,675.20 | ↑ +201% |
| HORIZON | PIP | $1,749.30 | ↑ +214% |
| QUALCARE | PPO | $1,758.35 | ↑ +216% |
| HORIZON | SHP | $1,764.46 | ↑ +217% |
| AETNA | ASA | $1,771.93 | ↑ +218% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,779.90 | ↑ +220% |
| HORIZON | HMO | $1,820.58 | ↑ +227% |
| HORIZON | INDEMNITY | $1,842.08 | ↑ +231% |
| HORIZON | PPO | $1,868.33 | ↑ +236% |
| CIGNA | HMO | $1,894.86 | ↑ +240% |
| CIGNA | PPO | $1,894.86 | ↑ +240% |
| AMERIHEALTH | LOCAL HMO | $1,944.37 | ↑ +249% |
| QUALCARE | WORKERS COMP | $1,991.44 | ↑ +258% |
| AMERIHEALTH | REGIONAL HMO | $2,202.35 | ↑ +296% |
| OXFORD | ALL PRODUCTS | $2,810.00 | ↑ +405% |
| UNITED HEALTHCARE | HMO | $3,454.00 | ↑ +521% |
| AETNA | PPO | $4,025.00 | ↑ +623% |
| AETNA | HMO | $4,025.00 | ↑ +623% |
| QUALCARE | HMO | $6,256.00 | ↑ +1024% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1685% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +1817% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy tongue anterior two-thirds at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $563.67 | $563.67 – $676.40 |
| Hackensack University Medical Center | Hackensack | $599.72 | $233.25 – $636.27 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $564.16 | $50.40 – $564.16 |
| Jersey Shore University Medical Center | Neptune City | $563.67 | $224.75 – $676.40 |
| Palisades Medical Center | North Bergen | $599.72 | $233.25 – $653.70 |
| Raritan Bay Medical Center | Perth Amboy | $564.16 | $233.25 – $676.99 |
| Riverview Medical Center | Red Bank | $563.67 | $224.75 – $676.40 |
| Southern Ocean Medical Center | Manahawkin | $556.55 | $224.75 – $667.86 |