Cptr ophth dx img post segmt at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$64.92
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.
$200.00
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.
$25.74 with CLOVER vs $160.90 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $25.74 | ↓ -60% |
| AETNA | MANAGED MEDICAID | $28.40 | ↓ -56% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $30.75 | ↓ -53% |
| AMERIGROUP | MEDICARE ADVANTAGE | $31.17 | ↓ -52% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $48.53 | ↓ -25% |
| AMERIHEALTH | LOCAL HMO | $51.65 | ↓ -20% |
| AMERIHEALTH | REGIONAL HMO | $52.55 | ↓ -19% |
| WELLCARE | MEDICARE ADVANTAGE | $59.40 | ↓ -9% |
| WELLCARE | MANAGED MEDICAID | $59.40 | ↓ -9% |
| AETNA | MEDICARE ADVANTAGE | $59.40 | ↓ -9% |
| VACCN | ALL PRODUCTS | $59.40 | ↓ -9% |
| HORIZON | MEDICARE ADVANTAGE | $59.40 | ↓ -9% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $62.37 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $64.92 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $67.85 | ↑ +5% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $71.50 | ↑ +10% |
| UNITED HEALTHCARE | DSNP | $77.90 | ↑ +20% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $85.80 | ↑ +32% |
| HORIZON | SHP | $87.09 | ↑ +34% |
| HORIZON | INDEMNITY | $87.09 | ↑ +34% |
| HORIZON | PPO | $87.09 | ↑ +34% |
| HORIZON | OMNIA | $87.09 | ↑ +34% |
| HORIZON | PIP | $87.09 | ↑ +34% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $92.95 | ↑ +43% |
| INTERGROUP | SHARED SAVINGS | $100.10 | ↑ +54% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $100.10 | ↑ +54% |
| INTERGROUP | WORKERS COMP | $100.10 | ↑ +54% |
| BERGEN RISK | ALL PRODUCTS | $107.25 | ↑ +65% |
| PRIME HEALTH | AUTO INSURANCE | $114.40 | ↑ +76% |
| PRIME HEALTH | WORKERS COMP | $114.40 | ↑ +76% |
| HORIZON | MANAGED MEDICAID | $118.96 | ↑ +83% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $121.55 | ↑ +87% |
| AETNA | HMO | $128.23 | ↑ +98% |
| AETNA | ASA | $128.23 | ↑ +98% |
| AETNA | PPO | $128.23 | ↑ +98% |
| OXFORD | ALL PRODUCTS | $129.36 | ↑ +99% |
| QUALCARE | WORKERS COMP | $132.42 | ↑ +104% |
| QUALCARE | PPO | $132.42 | ↑ +104% |
| QUALCARE | HMO | $132.42 | ↑ +104% |
| CIGNA | PPO | $137.65 | ↑ +112% |
| CIGNA | HMO | $137.65 | ↑ +112% |
| UNITED HEALTHCARE | HMO | $137.84 | ↑ +112% |
| HORIZON | WORKERS COMP | $143.36 | ↑ +121% |
| HORIZON | HMO | $160.90 | ↑ +148% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cptr ophth dx img post segmt at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $65.75 | $51.65 – $78.90 |
| Hackensack University Medical Center | Hackensack | $69.95 | $28.78 – $4,994.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $65.80 | $46.19 – $2,437.00 |
| Jersey Shore University Medical Center | Neptune City | $65.75 | $50.76 – $78.90 |
| Palisades Medical Center | North Bergen | $69.95 | $31.75 – $576.00 |
| Raritan Bay Medical Center | Perth Amboy | $65.80 | $51.65 – $78.97 |
| Riverview Medical Center | Red Bank | $65.75 | $51.65 – $78.90 |
| Southern Ocean Medical Center | Manahawkin | $64.92 | $51.65 – $77.90 |