Contrast x-ray of ankle at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$390.30
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.
$1,101.00
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.
$156.34 with AETNA vs $1,071.49 with AMERIHEALTH — 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 | $156.34 | ↓ -60% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $157.85 | ↓ -60% |
| CLOVER | MEDICARE ADVANTAGE | $198.18 | ↓ -49% |
| HORIZON | MANAGED MEDICAID | $209.74 | ↓ -46% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $213.59 | ↓ -45% |
| AETNA | HMO | $215.40 | ↓ -45% |
| AETNA | PPO | $215.40 | ↓ -45% |
| KARNA | MEDICARE ADVANTAGE | $236.13 | ↓ -40% |
| VACCN | ALL PRODUCTS | $357.13 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $357.13 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $357.13 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $357.13 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $357.13 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $357.13 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $374.99 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $390.30 | ↑ +0% |
| CIGNA | HMO | $393.73 | ↑ +1% |
| CIGNA | PPO | $393.73 | ↑ +1% |
| UNITED HEALTHCARE | DSNP | $468.36 | ↑ +20% |
| QUALCARE | HMO | $546.10 | ↑ +40% |
| OXFORD | ALL PRODUCTS | $595.64 | ↑ +53% |
| HORIZON | OMNIA | $717.19 | ↑ +84% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $770.70 | ↑ +97% |
| INTERGROUP | SHARED SAVINGS | $770.70 | ↑ +97% |
| INTERGROUP | WORKERS COMP | $770.70 | ↑ +97% |
| HORIZON | WORKERS COMP | $789.20 | ↑ +102% |
| BERGEN RISK | ALL PRODUCTS | $825.75 | ↑ +112% |
| QUALCARE | PPO | $851.07 | ↑ +118% |
| QUALCARE | WORKERS COMP | $851.07 | ↑ +118% |
| HORIZON | PIP | $851.07 | ↑ +118% |
| HORIZON | SHP | $858.45 | ↑ +120% |
| AETNA | ASA | $862.08 | ↑ +121% |
| PRIME HEALTH | WORKERS COMP | $880.80 | ↑ +126% |
| PRIME HEALTH | AUTO INSURANCE | $880.80 | ↑ +126% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $880.80 | ↑ +126% |
| HORIZON | HMO | $885.75 | ↑ +127% |
| HORIZON | INDEMNITY | $896.21 | ↑ +130% |
| HORIZON | PPO | $908.99 | ↑ +133% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $935.85 | ↑ +140% |
| AMERIHEALTH | LOCAL HMO | $945.98 | ↑ +142% |
| UNITED HEALTHCARE | HMO | $996.68 | ↑ +155% |
| AMERIHEALTH | REGIONAL HMO | $1,071.49 | ↑ +175% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Contrast x-ray of ankle at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $395.29 | $157.85 – $996.68 |
| Hackensack University Medical Center | Hackensack | $420.58 | $59.94 – $1,138.41 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $395.64 | $248.78 – $1,055.58 |
| Jersey Shore University Medical Center | Neptune City | $395.29 | $157.85 – $1,131.05 |
| Palisades Medical Center | North Bergen | $420.58 | $66.12 – $996.68 |
| Raritan Bay Medical Center | Perth Amboy | $395.64 | $90.72 – $996.68 |
| Riverview Medical Center | Red Bank | $395.29 | $56.45 – $996.68 |
| Southern Ocean Medical Center | Manahawkin | $390.30 | $157.85 – $409.82 |