Biospy of bladder at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$265.80
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.
$646.00
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.
$77.39 with AETNA vs $10,671.00 with HORIZON — 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 | $77.39 | ↓ -71% |
| CLOVER | MEDICARE ADVANTAGE | $98.10 | ↓ -63% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $105.73 | ↓ -60% |
| WELLCARE | MANAGED MEDICAID | $243.21 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $243.21 | ↓ -8% |
| VACCN | ALL PRODUCTS | $243.21 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $243.21 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $243.21 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $243.21 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $255.37 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $265.80 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $318.96 | ↑ +20% |
| HORIZON | OMNIA | $355.01 | ↑ +34% |
| BERGEN RISK | ALL PRODUCTS | $408.75 | ↑ +54% |
| HORIZON | PIP | $421.29 | ↑ +58% |
| QUALCARE | PPO | $423.47 | ↑ +59% |
| HORIZON | SHP | $424.94 | ↑ +60% |
| AETNA | ASA | $426.74 | ↑ +61% |
| HORIZON | HMO | $438.45 | ↑ +65% |
| HORIZON | INDEMNITY | $443.63 | ↑ +67% |
| HORIZON | PPO | $449.95 | ↑ +69% |
| INTERGROUP | SHARED SAVINGS | $452.20 | ↑ +70% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $452.20 | ↑ +70% |
| INTERGROUP | WORKERS COMP | $452.20 | ↑ +70% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $463.25 | ↑ +74% |
| AMERIHEALTH | LOCAL HMO | $468.26 | ↑ +76% |
| QUALCARE | WORKERS COMP | $479.60 | ↑ +80% |
| CIGNA | PPO | $489.90 | ↑ +84% |
| CIGNA | HMO | $489.90 | ↑ +84% |
| PRIME HEALTH | WORKERS COMP | $516.80 | ↑ +94% |
| PRIME HEALTH | AUTO INSURANCE | $516.80 | ↑ +94% |
| AMERIHEALTH | REGIONAL HMO | $530.39 | ↑ +100% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +347% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↑ +493% |
| OXFORD | ALL PRODUCTS | $2,810.00 | ↑ +957% |
| UNITED HEALTHCARE | HMO | $3,454.00 | ↑ +1199% |
| QUALCARE | HMO | $6,256.00 | ↑ +2254% |
| AETNA | PPO | $8,419.00 | ↑ +3067% |
| AETNA | HMO | $8,419.00 | ↑ +3067% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +3637% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +3915% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Biospy of bladder at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $269.20 | $269.20 – $323.04 |
| Hackensack University Medical Center | Hackensack | $286.42 | $229.13 – $300.74 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $269.43 | $243.21 – $269.43 |
| Jersey Shore University Medical Center | Neptune City | $269.20 | $269.20 – $323.04 |
| Palisades Medical Center | North Bergen | $286.42 | $286.42 – $312.20 |
| Raritan Bay Medical Center | Perth Amboy | $269.43 | $269.43 – $323.32 |
| Riverview Medical Center | Red Bank | $269.20 | $269.20 – $323.04 |
| Southern Ocean Medical Center | Manahawkin | $265.80 | $265.80 – $318.96 |