Caloric vstblr test w/rec at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$170.99
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.
$484.00
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.
$37.38 with KARNA vs $478.68 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $37.38 | ↓ -78% |
| AETNA | HMO | $63.67 | ↓ -63% |
| AETNA | PPO | $63.67 | ↓ -63% |
| AETNA | ASA | $63.67 | ↓ -63% |
| AETNA | MANAGED MEDICAID | $66.03 | ↓ -61% |
| CLOVER | MEDICARE ADVANTAGE | $83.70 | ↓ -51% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $90.21 | ↓ -47% |
| AMERIGROUP | MEDICARE ADVANTAGE | $105.51 | ↓ -38% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.00 | ↓ -32% |
| VACCN | ALL PRODUCTS | $156.46 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $156.46 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $156.46 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $156.46 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $156.46 | ↓ -8% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $164.27 | ↓ -4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $164.28 | ↓ -4% |
| HORIZON | HMO | $204.00 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $205.19 | ↑ +20% |
| HORIZON | WORKERS COMP | $208.00 | ↑ +22% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $242.00 | ↑ +42% |
| HORIZON | MANAGED MEDICAID | $276.58 | ↑ +62% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $290.40 | ↑ +70% |
| HORIZON | PIP | $294.76 | ↑ +72% |
| HORIZON | INDEMNITY | $294.76 | ↑ +72% |
| HORIZON | OMNIA | $294.76 | ↑ +72% |
| HORIZON | PPO | $294.76 | ↑ +72% |
| HORIZON | SHP | $294.76 | ↑ +72% |
| UNITED HEALTHCARE | HMO | $299.00 | ↑ +75% |
| OXFORD | ALL PRODUCTS | $300.76 | ↑ +76% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $314.60 | ↑ +84% |
| INTERGROUP | SHARED SAVINGS | $338.80 | ↑ +98% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $338.80 | ↑ +98% |
| INTERGROUP | WORKERS COMP | $338.80 | ↑ +98% |
| BERGEN RISK | ALL PRODUCTS | $348.75 | ↑ +104% |
| QUALCARE | HMO | $361.31 | ↑ +111% |
| QUALCARE | PPO | $361.31 | ↑ +111% |
| PRIME HEALTH | WORKERS COMP | $387.20 | ↑ +126% |
| PRIME HEALTH | AUTO INSURANCE | $387.20 | ↑ +126% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $395.25 | ↑ +131% |
| QUALCARE | WORKERS COMP | $409.20 | ↑ +139% |
| CIGNA | HMO | $444.68 | ↑ +160% |
| CIGNA | PPO | $444.68 | ↑ +160% |
| AMERIHEALTH | LOCAL HMO | $465.00 | ↑ +172% |
| AMERIHEALTH | REGIONAL HMO | $478.68 | ↑ +180% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Caloric vstblr test w/rec at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $465.00 |
| Hackensack University Medical Center | Hackensack | $184.26 | $38.88 – $487.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $173.33 | $22.96 – $627.00 |
| Jersey Shore University Medical Center | Neptune City | $173.18 | $37.38 – $443.00 |
| Palisades Medical Center | North Bergen | $184.26 | $22.62 – $994.00 |
| Raritan Bay Medical Center | Perth Amboy | $173.33 | $28.70 – $208.00 |
| Riverview Medical Center | Red Bank | $173.18 | $37.38 – $465.00 |
| Southern Ocean Medical Center | Manahawkin | $170.99 | $37.38 – $465.00 |