Breath test analysis c-14 at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$94.41
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.
not published by hospital
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.
$94.41 with WELLCARE vs $432.62 with CIGNA — 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 |
|---|---|---|---|
| WELLCARE | MEDICARE ADVANTAGE | $94.41 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $94.41 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $94.41 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $94.41 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $94.41 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $94.41 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $94.41 | ↑ +0% |
| VACCN | ALL PRODUCTS | $94.41 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $94.41 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $99.13 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $113.29 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $119.35 | ↑ +26% |
| AMERIHEALTH | REGIONAL HMO | $121.41 | ↑ +29% |
| KARNA | MEDICARE ADVANTAGE | $122.97 | ↑ +30% |
| AETNA | HMO | $140.23 | ↑ +49% |
| AETNA | PPO | $140.23 | ↑ +49% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $147.85 | ↑ +57% |
| BRIGHTON HEALTH PLAN | PNO | $195.43 | ↑ +107% |
| OXFORD | ALL PRODUCTS | $255.62 | ↑ +171% |
| UNITED HEALTHCARE | HMO | $255.62 | ↑ +171% |
| CIGNA | HMO | $432.62 | ↑ +358% |
| CIGNA | PPO | $432.62 | ↑ +358% |
Visitor-reported prices
Comments
Breath test analysis c-14 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $94.41 | $94.41 – $432.62 |
| Hackensack University Medical Center | Hackensack | $94.41 | $36.57 – $423.95 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $94.41 | $94.41 – $444.32 |
| Jersey Shore University Medical Center | Neptune City | $94.41 | $75.53 – $432.62 |
| Palisades Medical Center | North Bergen | $94.41 | $40.34 – $432.62 |
| Raritan Bay Medical Center | Perth Amboy | $94.41 | $55.35 – $432.62 |
| Riverview Medical Center | Red Bank | $94.41 | $28.29 – $432.62 |
| Southern Ocean Medical Center | Manahawkin | $94.41 | $94.41 – $432.62 |