Brain image w/flow < 4 views at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$439.15
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.
$1,374.00
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.
$182.47 with AETNA vs $1,156.50 with BRIGHTON HEALTH PLAN — 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 | $182.47 | ↓ -58% |
| CLOVER | MEDICARE ADVANTAGE | $231.30 | ↓ -47% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $249.29 | ↓ -43% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $254.75 | ↓ -42% |
| HORIZON | MANAGED MEDICAID | $261.75 | ↓ -40% |
| AMERIHEALTH | LOCAL HMO | $316.26 | ↓ -28% |
| AMERIHEALTH | REGIONAL HMO | $321.74 | ↓ -27% |
| KARNA | MEDICARE ADVANTAGE | $370.78 | ↓ -16% |
| AMERIGROUP | MEDICARE ADVANTAGE | $401.83 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $401.83 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $401.83 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $401.83 | ↓ -8% |
| VACCN | ALL PRODUCTS | $401.83 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $401.83 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $421.92 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $439.15 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $526.98 | ↑ +20% |
| AETNA | HMO | $555.40 | ↑ +26% |
| AETNA | PPO | $555.40 | ↑ +26% |
| CIGNA | PPO | $696.92 | ↑ +59% |
| CIGNA | HMO | $696.92 | ↑ +59% |
| HORIZON | OMNIA | $837.05 | ↑ +91% |
| HORIZON | WORKERS COMP | $921.09 | ↑ +110% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $961.80 | ↑ +119% |
| INTERGROUP | SHARED SAVINGS | $961.80 | ↑ +119% |
| INTERGROUP | WORKERS COMP | $961.80 | ↑ +119% |
| BERGEN RISK | ALL PRODUCTS | $963.75 | ↑ +119% |
| HORIZON | PIP | $993.31 | ↑ +126% |
| QUALCARE | PPO | $998.45 | ↑ +127% |
| QUALCARE | HMO | $998.45 | ↑ +127% |
| HORIZON | SHP | $1,001.91 | ↑ +128% |
| AETNA | ASA | $1,006.16 | ↑ +129% |
| UNITED HEALTHCARE | HMO | $1,021.05 | ↑ +133% |
| OXFORD | ALL PRODUCTS | $1,021.05 | ↑ +133% |
| HORIZON | HMO | $1,033.78 | ↑ +135% |
| HORIZON | INDEMNITY | $1,045.99 | ↑ +138% |
| HORIZON | PPO | $1,060.90 | ↑ +142% |
| QUALCARE | WORKERS COMP | $1,062.10 | ↑ +142% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,092.25 | ↑ +149% |
| PRIME HEALTH | WORKERS COMP | $1,099.20 | ↑ +150% |
| PRIME HEALTH | AUTO INSURANCE | $1,099.20 | ↑ +150% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,156.50 | ↑ +163% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Brain image w/flow < 4 views at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $444.77 | $254.75 – $1,021.05 |
| Hackensack University Medical Center | Hackensack | $473.22 | $126.37 – $1,166.24 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $445.16 | $282.81 – $1,081.39 |
| Jersey Shore University Medical Center | Neptune City | $444.77 | $254.75 – $1,158.70 |
| Palisades Medical Center | North Bergen | $473.22 | $139.40 – $1,021.05 |
| Raritan Bay Medical Center | Perth Amboy | $445.16 | $191.25 – $1,021.05 |
| Riverview Medical Center | Red Bank | $444.77 | $119.00 – $1,021.05 |
| Southern Ocean Medical Center | Manahawkin | $439.15 | $254.75 – $696.92 |