Conversion ext bil drg cath at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$3,856.84
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.
$8,334.00
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.
$387.82 with KARNA vs $14,134.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $387.82 | ↓ -90% |
| AETNA | MANAGED MEDICAID | $1,183.43 | ↓ -69% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -69% |
| CLOVER | MEDICARE ADVANTAGE | $1,500.12 | ↓ -61% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↓ -59% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,616.80 | ↓ -58% |
| WELLCARE | MEDICARE ADVANTAGE | $3,529.06 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $3,529.06 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $3,529.06 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $3,529.06 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $3,529.06 | ↓ -8% |
| VACCN | ALL PRODUCTS | $3,529.06 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,705.51 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,856.84 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $4,628.21 | ↑ +20% |
| HORIZON | OMNIA | $5,428.77 | ↑ +41% |
| INTERGROUP | WORKERS COMP | $5,437.60 | ↑ +41% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $5,437.60 | ↑ +41% |
| INTERGROUP | SHARED SAVINGS | $5,437.60 | ↑ +41% |
| BERGEN RISK | ALL PRODUCTS | $5,826.00 | ↑ +51% |
| PRIME HEALTH | AUTO INSURANCE | $6,214.40 | ↑ +61% |
| PRIME HEALTH | WORKERS COMP | $6,214.40 | ↑ +61% |
| QUALCARE | HMO | $6,256.00 | ↑ +62% |
| HORIZON | PIP | $6,442.18 | ↑ +67% |
| QUALCARE | PPO | $6,475.52 | ↑ +68% |
| HORIZON | SHP | $6,498.02 | ↑ +68% |
| AETNA | ASA | $6,525.52 | ↑ +69% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,602.80 | ↑ +71% |
| HORIZON | HMO | $6,704.70 | ↑ +74% |
| HORIZON | INDEMNITY | $6,783.88 | ↑ +76% |
| HORIZON | PPO | $6,880.55 | ↑ +78% |
| CIGNA | HMO | $7,029.26 | ↑ +82% |
| CIGNA | PPO | $7,029.26 | ↑ +82% |
| AMERIHEALTH | LOCAL HMO | $7,160.57 | ↑ +86% |
| QUALCARE | WORKERS COMP | $7,333.92 | ↑ +90% |
| AMERIHEALTH | REGIONAL HMO | $8,110.65 | ↑ +110% |
| AETNA | PPO | $8,419.00 | ↑ +118% |
| AETNA | HMO | $8,419.00 | ↑ +118% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +158% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +177% |
| OXFORD | ALL PRODUCTS | $11,153.00 | ↑ +189% |
| UNITED HEALTHCARE | HMO | $14,134.00 | ↑ +266% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Conversion ext bil drg cath at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,906.18 | $3,906.18 – $4,687.41 |
| Hackensack University Medical Center | Hackensack | $4,156.03 | $398.13 – $4,363.83 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,909.56 | $398.13 – $3,909.56 |
| Jersey Shore University Medical Center | Neptune City | $3,906.18 | $387.82 – $4,687.41 |
| Palisades Medical Center | North Bergen | $4,156.03 | $398.13 – $4,530.08 |
| Raritan Bay Medical Center | Perth Amboy | $3,909.56 | $398.13 – $4,691.48 |
| Riverview Medical Center | Red Bank | $3,906.18 | $387.82 – $4,687.41 |
| Southern Ocean Medical Center | Manahawkin | $3,856.84 | $387.82 – $4,628.21 |