Closure paravalvlr leak pq at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$675.68
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.
$1,989.00
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.
$282.44 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 | $282.44 | ↓ -58% |
| CLOVER | MEDICARE ADVANTAGE | $358.02 | ↓ -47% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $385.87 | ↓ -43% |
| WELLCARE | MEDICARE ADVANTAGE | $618.26 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $618.26 | ↓ -8% |
| VACCN | ALL PRODUCTS | $618.26 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $618.26 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $618.26 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $618.26 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $649.17 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $675.68 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $810.82 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +76% |
| HORIZON | OMNIA | $1,295.63 | ↑ +92% |
| INTERGROUP | WORKERS COMP | $1,392.30 | ↑ +106% |
| INTERGROUP | SHARED SAVINGS | $1,392.30 | ↑ +106% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,392.30 | ↑ +106% |
| BERGEN RISK | ALL PRODUCTS | $1,491.75 | ↑ +121% |
| HORIZON | PIP | $1,537.50 | ↑ +128% |
| QUALCARE | PPO | $1,545.45 | ↑ +129% |
| HORIZON | SHP | $1,550.82 | ↑ +130% |
| AETNA | ASA | $1,557.39 | ↑ +130% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↑ +133% |
| PRIME HEALTH | AUTO INSURANCE | $1,591.20 | ↑ +135% |
| PRIME HEALTH | WORKERS COMP | $1,591.20 | ↑ +135% |
| HORIZON | HMO | $1,600.15 | ↑ +137% |
| HORIZON | INDEMNITY | $1,619.05 | ↑ +140% |
| HORIZON | PPO | $1,642.12 | ↑ +143% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,690.65 | ↑ +150% |
| AMERIHEALTH | LOCAL HMO | $1,708.95 | ↑ +153% |
| QUALCARE | WORKERS COMP | $1,750.32 | ↑ +159% |
| CIGNA | PPO | $1,787.91 | ↑ +165% |
| CIGNA | HMO | $1,787.91 | ↑ +165% |
| AMERIHEALTH | REGIONAL HMO | $1,935.69 | ↑ +186% |
| OXFORD | ALL PRODUCTS | $4,090.00 | ↑ +505% |
| UNITED HEALTHCARE | HMO | $5,092.00 | ↑ +654% |
| QUALCARE | HMO | $6,256.00 | ↑ +826% |
| AETNA | HMO | $8,419.00 | ↑ +1146% |
| AETNA | PPO | $8,419.00 | ↑ +1146% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1370% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +1479% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Closure paravalvlr leak pq at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $684.33 | $684.33 – $821.19 |
| Hackensack University Medical Center | Hackensack | $728.10 | $582.48 – $764.51 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $684.92 | $618.26 – $684.92 |
| Jersey Shore University Medical Center | Neptune City | $684.33 | $684.33 – $821.19 |
| Palisades Medical Center | North Bergen | $728.10 | $728.10 – $793.63 |
| Raritan Bay Medical Center | Perth Amboy | $684.92 | $684.92 – $821.90 |
| Riverview Medical Center | Red Bank | $684.33 | $684.33 – $821.19 |
| Southern Ocean Medical Center | Manahawkin | $675.68 | $675.68 – $810.82 |