Compre oph exam est pt 1/> at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$140.84
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.
$312.00
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.
$44.30 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 | $44.30 | ↓ -69% |
| CLOVER | MEDICARE ADVANTAGE | $56.16 | ↓ -60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $60.53 | ↓ -57% |
| KARNA | MEDICARE ADVANTAGE | $123.08 | ↓ -13% |
| AETNA | MEDICARE ADVANTAGE | $128.87 | ↓ -8% |
| VACCN | ALL PRODUCTS | $128.87 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $128.87 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $128.87 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $128.87 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $128.87 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $135.31 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $140.84 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $169.01 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $183.77 | ↑ +30% |
| HORIZON | OMNIA | $203.24 | ↑ +44% |
| OXFORD | ALL PRODUCTS | $205.17 | ↑ +46% |
| UNITED HEALTHCARE | HMO | $215.03 | ↑ +53% |
| INTERGROUP | WORKERS COMP | $218.40 | ↑ +55% |
| INTERGROUP | SHARED SAVINGS | $218.40 | ↑ +55% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $218.40 | ↑ +55% |
| BERGEN RISK | ALL PRODUCTS | $234.00 | ↑ +66% |
| HORIZON | PIP | $241.18 | ↑ +71% |
| QUALCARE | PPO | $242.42 | ↑ +72% |
| HORIZON | SHP | $243.27 | ↑ +73% |
| AETNA | ASA | $244.30 | ↑ +73% |
| PRIME HEALTH | WORKERS COMP | $249.60 | ↑ +77% |
| PRIME HEALTH | AUTO INSURANCE | $249.60 | ↑ +77% |
| HORIZON | HMO | $251.00 | ↑ +78% |
| HORIZON | INDEMNITY | $253.97 | ↑ +80% |
| HORIZON | PPO | $257.59 | ↑ +83% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $265.20 | ↑ +88% |
| AMERIHEALTH | LOCAL HMO | $268.07 | ↑ +90% |
| QUALCARE | WORKERS COMP | $274.56 | ↑ +95% |
| CIGNA | HMO | $282.33 | ↑ +100% |
| CIGNA | PPO | $282.33 | ↑ +100% |
| AMERIHEALTH | REGIONAL HMO | $303.64 | ↑ +116% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↑ +1018% |
| QUALCARE | HMO | $6,256.00 | ↑ +4342% |
| AETNA | HMO | $8,419.00 | ↑ +5878% |
| AETNA | PPO | $8,419.00 | ↑ +5878% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +6953% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +7477% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Compre oph exam est pt 1/> at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $142.64 | $142.64 – $171.17 |
| Hackensack University Medical Center | Hackensack | $151.77 | $121.41 – $159.35 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.76 | $85.92 – $142.76 |
| Jersey Shore University Medical Center | Neptune City | $142.64 | $123.08 – $171.17 |
| Palisades Medical Center | North Bergen | $151.77 | $127.25 – $165.42 |
| Raritan Bay Medical Center | Perth Amboy | $142.76 | $127.25 – $171.32 |
| Riverview Medical Center | Red Bank | $142.64 | $123.08 – $171.17 |
| Southern Ocean Medical Center | Manahawkin | $140.84 | $123.08 – $169.01 |