Close tear system fistula at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$2,549.65
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.
$6,105.00
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.
$866.91 with AETNA vs $10,671.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $866.91 | ↓ -66% |
| CLOVER | MEDICARE ADVANTAGE | $1,098.90 | ↓ -57% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,184.37 | ↓ -54% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -53% |
| KARNA | MEDICARE ADVANTAGE | $1,291.47 | ↓ -49% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↓ -38% |
| WELLCARE | MANAGED MEDICAID | $2,332.96 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $2,332.96 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $2,332.96 | ↓ -8% |
| VACCN | ALL PRODUCTS | $2,332.96 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $2,332.96 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $2,332.96 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,449.61 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,549.65 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $3,059.57 | ↑ +20% |
| HORIZON | OMNIA | $3,976.80 | ↑ +56% |
| OXFORD | ALL PRODUCTS | $4,090.00 | ↑ +60% |
| INTERGROUP | SHARED SAVINGS | $4,273.50 | ↑ +68% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,273.50 | ↑ +68% |
| INTERGROUP | WORKERS COMP | $4,273.50 | ↑ +68% |
| CIGNA | HMO | $4,414.00 | ↑ +73% |
| BERGEN RISK | ALL PRODUCTS | $4,578.75 | ↑ +80% |
| HORIZON | PIP | $4,719.17 | ↑ +85% |
| QUALCARE | PPO | $4,743.59 | ↑ +86% |
| HORIZON | SHP | $4,760.07 | ↑ +87% |
| AETNA | ASA | $4,780.22 | ↑ +87% |
| PRIME HEALTH | AUTO INSURANCE | $4,884.00 | ↑ +92% |
| PRIME HEALTH | WORKERS COMP | $4,884.00 | ↑ +92% |
| HORIZON | HMO | $4,911.47 | ↑ +93% |
| CIGNA | PPO | $4,945.00 | ↑ +94% |
| HORIZON | INDEMNITY | $4,969.47 | ↑ +95% |
| HORIZON | PPO | $5,040.29 | ↑ +98% |
| UNITED HEALTHCARE | HMO | $5,092.00 | ↑ +100% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,189.25 | ↑ +104% |
| AMERIHEALTH | LOCAL HMO | $5,245.42 | ↑ +106% |
| QUALCARE | WORKERS COMP | $5,372.40 | ↑ +111% |
| AMERIHEALTH | REGIONAL HMO | $5,941.39 | ↑ +133% |
| QUALCARE | HMO | $6,256.00 | ↑ +145% |
| AETNA | PPO | $8,419.00 | ↑ +230% |
| AETNA | HMO | $8,419.00 | ↑ +230% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +290% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +319% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Close tear system fistula at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $2,582.26 | $2,582.26 – $3,098.71 |
| Hackensack University Medical Center | Hackensack | $2,747.43 | $1,342.90 – $2,884.81 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,584.50 | $275.88 – $2,584.50 |
| Jersey Shore University Medical Center | Neptune City | $2,582.26 | $1,291.47 – $3,098.71 |
| Palisades Medical Center | North Bergen | $2,747.43 | $1,342.90 – $2,994.70 |
| Raritan Bay Medical Center | Perth Amboy | $2,584.50 | $1,342.90 – $3,101.40 |
| Riverview Medical Center | Red Bank | $2,582.26 | $1,291.47 – $3,098.71 |
| Southern Ocean Medical Center | Manahawkin | $2,549.65 | $1,291.47 – $3,059.57 |