Cdp-sot 6 cond w/i&r at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$140.87
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.
$749.00
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.
$78.57 with KARNA vs $631.16 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $78.57 | ↓ -44% |
| AETNA | MANAGED MEDICAID | $93.72 | ↓ -33% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.00 | ↓ -18% |
| CLOVER | MEDICARE ADVANTAGE | $118.80 | ↓ -16% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $128.04 | ↓ -9% |
| VACCN | ALL PRODUCTS | $128.90 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $128.90 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $128.90 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $128.90 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $128.90 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $135.35 | ↓ -4% |
| AMERIGROUP | MEDICARE ADVANTAGE | $163.28 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $169.05 | ↑ +20% |
| HORIZON | HMO | $204.00 | ↑ +45% |
| HORIZON | WORKERS COMP | $208.00 | ↑ +48% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $254.21 | ↑ +80% |
| UNITED HEALTHCARE | HMO | $299.00 | ↑ +112% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $374.50 | ↑ +166% |
| HORIZON | MANAGED MEDICAID | $392.57 | ↑ +179% |
| OXFORD | ALL PRODUCTS | $426.89 | ↑ +203% |
| HORIZON | OMNIA | $429.92 | ↑ +205% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $449.40 | ↑ +219% |
| HORIZON | PIP | $456.14 | ↑ +224% |
| HORIZON | INDEMNITY | $456.14 | ↑ +224% |
| HORIZON | PPO | $456.14 | ↑ +224% |
| HORIZON | SHP | $456.14 | ↑ +224% |
| AMERIHEALTH | LOCAL HMO | $465.00 | ↑ +230% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $486.85 | ↑ +246% |
| BERGEN RISK | ALL PRODUCTS | $495.00 | ↑ +251% |
| QUALCARE | HMO | $512.82 | ↑ +264% |
| QUALCARE | PPO | $512.82 | ↑ +264% |
| AETNA | ASA | $516.78 | ↑ +267% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $524.30 | ↑ +272% |
| INTERGROUP | WORKERS COMP | $524.30 | ↑ +272% |
| INTERGROUP | SHARED SAVINGS | $524.30 | ↑ +272% |
| AMERIHEALTH | REGIONAL HMO | $527.00 | ↑ +274% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $561.00 | ↑ +298% |
| QUALCARE | WORKERS COMP | $580.80 | ↑ +312% |
| AETNA | PPO | $594.00 | ↑ +322% |
| AETNA | HMO | $594.00 | ↑ +322% |
| PRIME HEALTH | AUTO INSURANCE | $599.20 | ↑ +325% |
| PRIME HEALTH | WORKERS COMP | $599.20 | ↑ +325% |
| CIGNA | PPO | $631.16 | ↑ +348% |
| CIGNA | HMO | $631.16 | ↑ +348% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cdp-sot 6 cond w/i&r at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $142.67 | $142.67 – $465.00 |
| Hackensack University Medical Center | Hackensack | $151.80 | $81.70 – $487.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.80 | $81.70 – $627.00 |
| Jersey Shore University Medical Center | Neptune City | $142.67 | $78.57 – $443.00 |
| Palisades Medical Center | North Bergen | $151.80 | $81.70 – $994.00 |
| Raritan Bay Medical Center | Perth Amboy | $142.80 | $81.70 – $171.36 |
| Riverview Medical Center | Red Bank | $142.67 | $78.57 – $465.00 |
| Southern Ocean Medical Center | Manahawkin | $140.87 | $78.57 – $465.00 |