Change of windpipe airway 31502 at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$253.79
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.
$845.00
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.
$71.27 with KARNA vs $10,149.00 with HORIZON — 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 | $71.27 | ↓ -72% |
| AETNA | MANAGED MEDICAID | $105.51 | ↓ -58% |
| CLOVER | MEDICARE ADVANTAGE | $133.74 | ↓ -47% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $144.14 | ↓ -43% |
| WELLCARE | MEDICARE ADVANTAGE | $232.22 | ↓ -8% |
| VACCN | ALL PRODUCTS | $232.22 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $232.22 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $232.22 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $232.22 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $232.22 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $243.83 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $253.79 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $304.55 | ↑ +20% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $425.04 | ↑ +67% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $437.63 | ↑ +72% |
| HORIZON | MANAGED MEDICAID | $441.94 | ↑ +74% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $472.36 | ↑ +86% |
| OXFORD | ALL PRODUCTS | $488.60 | ↑ +93% |
| UNITED HEALTHCARE | HMO | $512.08 | ↑ +102% |
| BERGEN RISK | ALL PRODUCTS | $557.25 | ↑ +120% |
| HORIZON | PIP | $574.34 | ↑ +126% |
| QUALCARE | PPO | $577.31 | ↑ +127% |
| QUALCARE | HMO | $577.31 | ↑ +127% |
| AETNA | ASA | $581.77 | ↑ +129% |
| INTERGROUP | SHARED SAVINGS | $591.50 | ↑ +133% |
| INTERGROUP | WORKERS COMP | $591.50 | ↑ +133% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $591.50 | ↑ +133% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $631.55 | ↑ +149% |
| AMERIHEALTH | LOCAL HMO | $638.39 | ↑ +152% |
| QUALCARE | WORKERS COMP | $653.84 | ↑ +158% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $668.70 | ↑ +163% |
| PRIME HEALTH | WORKERS COMP | $676.00 | ↑ +166% |
| PRIME HEALTH | AUTO INSURANCE | $676.00 | ↑ +166% |
| AMERIHEALTH | REGIONAL HMO | $723.09 | ↑ +185% |
| AETNA | PPO | $757.71 | ↑ +199% |
| AETNA | HMO | $757.71 | ↑ +199% |
| CIGNA | HMO | $764.64 | ↑ +201% |
| CIGNA | PPO | $764.64 | ↑ +201% |
| HORIZON | OMNIA | $6,347.00 | ↑ +2401% |
| HORIZON | SHP | $7,307.00 | ↑ +2779% |
| HORIZON | HMO | $7,840.00 | ↑ +2989% |
| HORIZON | INDEMNITY | $7,920.00 | ↑ +3021% |
| HORIZON | PPO | $8,045.00 | ↑ +3070% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +3899% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Change of windpipe airway 31502 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $257.04 | $257.04 – $308.44 |
| Hackensack University Medical Center | Hackensack | $273.48 | $73.26 – $287.15 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $257.26 | $56.00 – $257.26 |
| Jersey Shore University Medical Center | Neptune City | $257.04 | $71.27 – $308.44 |
| Palisades Medical Center | North Bergen | $273.48 | $55.16 – $298.09 |
| Raritan Bay Medical Center | Perth Amboy | $257.26 | $70.00 – $308.71 |
| Riverview Medical Center | Red Bank | $257.04 | $71.27 – $308.44 |
| Southern Ocean Medical Center | Manahawkin | $253.79 | $71.27 – $304.55 |