Delay flap eye/nos/ear/lip at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$1,999.13
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.
$4,462.00
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.
$633.60 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 | $633.60 | ↓ -68% |
| KARNA | MEDICARE ADVANTAGE | $722.10 | ↓ -64% |
| CLOVER | MEDICARE ADVANTAGE | $803.16 | ↓ -60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $865.63 | ↓ -57% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -41% |
| HORIZON | MANAGED MEDICAID | $1,277.00 | ↓ -36% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,829.23 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $1,829.23 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $1,829.23 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $1,829.23 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $1,829.23 | ↓ -8% |
| VACCN | ALL PRODUCTS | $1,829.23 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,920.69 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,999.13 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $2,398.95 | ↑ +20% |
| HORIZON | OMNIA | $2,906.55 | ↑ +45% |
| INTERGROUP | WORKERS COMP | $3,123.40 | ↑ +56% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,123.40 | ↑ +56% |
| INTERGROUP | SHARED SAVINGS | $3,123.40 | ↑ +56% |
| BERGEN RISK | ALL PRODUCTS | $3,346.50 | ↑ +67% |
| HORIZON | PIP | $3,449.13 | ↑ +73% |
| QUALCARE | PPO | $3,466.97 | ↑ +73% |
| HORIZON | SHP | $3,479.02 | ↑ +74% |
| AETNA | ASA | $3,493.75 | ↑ +75% |
| PRIME HEALTH | AUTO INSURANCE | $3,569.60 | ↑ +79% |
| PRIME HEALTH | WORKERS COMP | $3,569.60 | ↑ +79% |
| CIGNA | HMO | $3,588.00 | ↑ +79% |
| HORIZON | HMO | $3,589.68 | ↑ +80% |
| HORIZON | INDEMNITY | $3,632.07 | ↑ +82% |
| HORIZON | PPO | $3,683.83 | ↑ +84% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,792.70 | ↑ +90% |
| AMERIHEALTH | LOCAL HMO | $3,833.75 | ↑ +92% |
| QUALCARE | WORKERS COMP | $3,926.56 | ↑ +96% |
| CIGNA | PPO | $4,015.00 | ↑ +101% |
| AMERIHEALTH | REGIONAL HMO | $4,342.42 | ↑ +117% |
| OXFORD | ALL PRODUCTS | $6,137.00 | ↑ +207% |
| QUALCARE | HMO | $6,256.00 | ↑ +213% |
| UNITED HEALTHCARE | HMO | $7,714.00 | ↑ +286% |
| AETNA | PPO | $8,419.00 | ↑ +321% |
| AETNA | HMO | $8,419.00 | ↑ +321% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +397% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +434% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Delay flap eye/nos/ear/lip at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $2,024.70 | $2,024.70 – $2,429.64 |
| Hackensack University Medical Center | Hackensack | $2,154.21 | $750.98 – $2,261.92 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,026.46 | $364.50 – $2,026.46 |
| Jersey Shore University Medical Center | Neptune City | $2,024.70 | $722.10 – $2,429.64 |
| Palisades Medical Center | North Bergen | $2,154.21 | $750.98 – $2,348.09 |
| Raritan Bay Medical Center | Perth Amboy | $2,026.46 | $750.98 – $2,431.75 |
| Riverview Medical Center | Red Bank | $2,024.70 | $722.10 – $2,429.64 |
| Southern Ocean Medical Center | Manahawkin | $1,999.13 | $722.10 – $2,398.95 |