Change cystostomy tube simple at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$265.80
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.
$1,735.00
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.
$105.85 with KARNA vs $4,025.00 with AETNA — 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 | $105.85 | ↓ -60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $224.68 | ↓ -15% |
| HORIZON | MEDICARE ADVANTAGE | $243.21 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $243.21 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $243.21 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $243.21 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $243.21 | ↓ -8% |
| VACCN | ALL PRODUCTS | $243.21 | ↓ -8% |
| AETNA | MANAGED MEDICAID | $246.37 | ↓ -7% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $255.37 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $265.80 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $312.30 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $318.96 | ↑ +20% |
| QUALCARE | HMO | $368.00 | ↑ +38% |
| INTERGROUP | WORKERS COMP | $731.50 | ↑ +175% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $731.50 | ↑ +175% |
| INTERGROUP | SHARED SAVINGS | $731.50 | ↑ +175% |
| PRIME HEALTH | WORKERS COMP | $836.00 | ↑ +215% |
| PRIME HEALTH | AUTO INSURANCE | $836.00 | ↑ +215% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $888.25 | ↑ +234% |
| OXFORD | ALL PRODUCTS | $1,140.94 | ↑ +329% |
| UNITED HEALTHCARE | HMO | $1,195.76 | ↑ +350% |
| HORIZON | PIP | $1,341.16 | ↑ +405% |
| QUALCARE | PPO | $1,348.10 | ↑ +407% |
| AETNA | ASA | $1,358.51 | ↑ +411% |
| QUALCARE | WORKERS COMP | $1,526.80 | ↑ +474% |
| HORIZON | WORKERS COMP | $3,349.00 | ↑ +1160% |
| AETNA | PPO | $4,025.00 | ↑ +1414% |
| AETNA | HMO | $4,025.00 | ↑ +1414% |
| HORIZON | SHP | not published by hospital | — |
| HORIZON | PPO | not published by hospital | — |
| HORIZON | OMNIA | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | INDEMNITY | not published by hospital | — |
| HORIZON | HMO | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | not published by hospital | — |
| BERGEN RISK | ALL PRODUCTS | not published by hospital | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIHEALTH | REGIONAL HMO | not published by hospital | — |
| AMERIHEALTH | LOCAL HMO | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Change cystostomy tube simple at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $269.20 | $269.20 – $368.00 |
| Hackensack University Medical Center | Hackensack | $286.42 | $109.12 – $300.74 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $269.43 | $42.00 – $269.43 |
| Jersey Shore University Medical Center | Neptune City | $269.20 | $105.85 – $323.04 |
| Palisades Medical Center | North Bergen | $286.42 | $109.12 – $312.20 |
| Raritan Bay Medical Center | Perth Amboy | $269.43 | $52.50 – $795.00 |
| Riverview Medical Center | Red Bank | $269.20 | $105.85 – $368.00 |
| Southern Ocean Medical Center | Manahawkin | $265.80 | $105.85 – $318.96 |