Breath recording infant at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$579.88
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.
$1,214.00
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.
$172.39 with AETNA vs $1,181.46 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $172.39 | ↓ -70% |
| CLOVER | MEDICARE ADVANTAGE | $218.52 | ↓ -62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $235.52 | ↓ -59% |
| OXFORD | ALL PRODUCTS | $389.00 | ↓ -33% |
| VACCN | ALL PRODUCTS | $530.60 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $530.60 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $530.60 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $530.60 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $530.60 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $530.60 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $557.13 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $579.88 | ↑ +0% |
| UNITED HEALTHCARE | HMO | $623.00 | ↑ +7% |
| UNITED HEALTHCARE | DSNP | $695.86 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $715.05 | ↑ +23% |
| HORIZON | MANAGED MEDICAID | $722.09 | ↑ +25% |
| HORIZON | OMNIA | $790.80 | ↑ +36% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $849.80 | ↑ +47% |
| INTERGROUP | WORKERS COMP | $849.80 | ↑ +47% |
| INTERGROUP | SHARED SAVINGS | $849.80 | ↑ +47% |
| HORIZON | WORKERS COMP | $870.20 | ↑ +50% |
| BERGEN RISK | ALL PRODUCTS | $910.50 | ↑ +57% |
| HORIZON | PIP | $938.42 | ↑ +62% |
| QUALCARE | HMO | $943.28 | ↑ +63% |
| QUALCARE | PPO | $943.28 | ↑ +63% |
| HORIZON | SHP | $946.56 | ↑ +63% |
| AETNA | ASA | $950.56 | ↑ +64% |
| PRIME HEALTH | AUTO INSURANCE | $971.20 | ↑ +67% |
| PRIME HEALTH | WORKERS COMP | $971.20 | ↑ +67% |
| HORIZON | HMO | $976.66 | ↑ +68% |
| HORIZON | INDEMNITY | $988.20 | ↑ +70% |
| HORIZON | PPO | $1,002.28 | ↑ +73% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,031.90 | ↑ +78% |
| AMERIHEALTH | LOCAL HMO | $1,043.07 | ↑ +80% |
| QUALCARE | WORKERS COMP | $1,068.32 | ↑ +84% |
| AETNA | PPO | $1,088.59 | ↑ +88% |
| AETNA | HMO | $1,088.59 | ↑ +88% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,092.60 | ↑ +88% |
| CIGNA | PPO | $1,160.95 | ↑ +100% |
| CIGNA | HMO | $1,160.95 | ↑ +100% |
| AMERIHEALTH | REGIONAL HMO | $1,181.46 | ↑ +104% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Breath recording infant at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $587.30 | $587.30 – $910.00 |
| Hackensack University Medical Center | Hackensack | $624.87 | $499.89 – $5,456.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $587.81 | $530.60 – $610.00 |
| Jersey Shore University Medical Center | Neptune City | $587.30 | $587.30 – $704.76 |
| Palisades Medical Center | North Bergen | $624.87 | $236.40 – $1,815.00 |
| Raritan Bay Medical Center | Perth Amboy | $587.81 | $300.00 – $640.71 |
| Riverview Medical Center | Red Bank | $587.30 | $587.30 – $1,550.00 |
| Southern Ocean Medical Center | Manahawkin | $579.88 | $392.00 – $695.86 |