healthcosts.net
Cholesterol (Lipid) Test at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$13.39
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.
?
What you pay up front if you don't use insurance.
$260.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$4.69 with AETNA vs $61.36 with CIGNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $4.69 | ↓ -65% |
| HORIZON | MANAGED MEDICAID | $6.29 | ↓ -53% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $13.39 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $13.39 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $13.39 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $13.39 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $13.39 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $13.39 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $13.39 | ↑ +0% |
| VACCN | ALL PRODUCTS | $13.39 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $13.39 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $14.06 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $16.07 | ↑ +20% |
| QUALCARE | HMO | $16.37 | ↑ +22% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $16.50 | ↑ +23% |
| KARNA | MEDICARE ADVANTAGE | $17.44 | ↑ +30% |
| OXFORD | ALL PRODUCTS | $17.85 | ↑ +33% |
| HORIZON | OMNIA | $21.50 | ↑ +61% |
| AETNA | PPO | $22.70 | ↑ +70% |
| AETNA | HMO | $22.70 | ↑ +70% |
| INTERGROUP | SHARED SAVINGS | $23.10 | ↑ +73% |
| INTERGROUP | WORKERS COMP | $23.10 | ↑ +73% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $23.10 | ↑ +73% |
| HORIZON | WORKERS COMP | $23.65 | ↑ +77% |
| BERGEN RISK | ALL PRODUCTS | $24.75 | ↑ +85% |
| HORIZON | PIP | $25.51 | ↑ +91% |
| QUALCARE | WORKERS COMP | $25.51 | ↑ +91% |
| QUALCARE | PPO | $25.51 | ↑ +91% |
| HORIZON | SHP | $25.73 | ↑ +92% |
| AETNA | ASA | $25.84 | ↑ +93% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $26.40 | ↑ +97% |
| PRIME HEALTH | WORKERS COMP | $26.40 | ↑ +97% |
| PRIME HEALTH | AUTO INSURANCE | $26.40 | ↑ +97% |
| HORIZON | HMO | $26.55 | ↑ +98% |
| HORIZON | INDEMNITY | $26.86 | ↑ +101% |
| HORIZON | PPO | $27.24 | ↑ +103% |
| UNITED HEALTHCARE | HMO | $27.48 | ↑ +105% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $28.05 | ↑ +109% |
| AMERIHEALTH | LOCAL HMO | $28.35 | ↑ +112% |
| AMERIHEALTH | REGIONAL HMO | $32.12 | ↑ +140% |
| CIGNA | PPO | $61.36 | ↑ +358% |
| CIGNA | HMO | $61.36 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Cholesterol (Lipid) Test at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $102.00 | $36.98 – $36.98 |
| Bayshore Medical Center | Holmdel | $13.39 | $13.39 – $28.35 |
| Hackensack University Medical Center | Hackensack | $13.39 | $8.28 – $33.00 |