Destruction benign lesions < 14 lesions at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$217.16
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.
?
What you pay up front if you don't use insurance.
$495.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.01 with CIGNA vs $10,671.00 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| CIGNA | PPO | $0.01 | ↓ -100% |
| CIGNA | HMO | $0.01 | ↓ -100% |
| AETNA | MANAGED MEDICAID | $64.04 | ↓ -71% |
| CLOVER | MEDICARE ADVANTAGE | $81.18 | ↓ -63% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $87.49 | ↓ -60% |
| KARNA | MEDICARE ADVANTAGE | $144.57 | ↓ -33% |
| WELLCARE | MANAGED MEDICAID | $198.70 | ↓ -9% |
| AMERIGROUP | MEDICARE ADVANTAGE | $198.70 | ↓ -9% |
| AETNA | MEDICARE ADVANTAGE | $198.70 | ↓ -9% |
| WELLCARE | MEDICARE ADVANTAGE | $198.70 | ↓ -9% |
| HORIZON | MEDICARE ADVANTAGE | $198.70 | ↓ -9% |
| VACCN | ALL PRODUCTS | $198.70 | ↓ -9% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $208.64 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $217.16 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $260.59 | ↑ +20% |
| HORIZON | OMNIA | $293.78 | ↑ +35% |
| BERGEN RISK | ALL PRODUCTS | $338.25 | ↑ +56% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $346.50 | ↑ +60% |
| INTERGROUP | SHARED SAVINGS | $346.50 | ↑ +60% |
| INTERGROUP | WORKERS COMP | $346.50 | ↑ +60% |
| HORIZON | PIP | $348.62 | ↑ +61% |
| QUALCARE | PPO | $350.43 | ↑ +61% |
| HORIZON | SHP | $351.64 | ↑ +62% |
| AETNA | ASA | $353.13 | ↑ +63% |
| HORIZON | HMO | $362.83 | ↑ +67% |
| HORIZON | INDEMNITY | $367.11 | ↑ +69% |
| HORIZON | PPO | $372.35 | ↑ +71% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $383.35 | ↑ +77% |
| AMERIHEALTH | LOCAL HMO | $387.50 | ↑ +78% |
| PRIME HEALTH | WORKERS COMP | $396.00 | ↑ +82% |
| PRIME HEALTH | AUTO INSURANCE | $396.00 | ↑ +82% |
| QUALCARE | WORKERS COMP | $396.88 | ↑ +83% |
| AMERIHEALTH | REGIONAL HMO | $438.91 | ↑ +102% |
| HORIZON | MANAGED MEDICAID | $848.00 | ↑ +290% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +448% |
| OXFORD | ALL PRODUCTS | $2,810.00 | ↑ +1194% |
| UNITED HEALTHCARE | HMO | $3,454.00 | ↑ +1491% |
| AETNA | PPO | $4,025.00 | ↑ +1753% |
| AETNA | HMO | $4,025.00 | ↑ +1753% |
| QUALCARE | HMO | $6,256.00 | ↑ +2781% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +4474% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +4814% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Destruction benign lesions < 14 lesions at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $219.93 | $219.93 – $263.92 |
| Hackensack University Medical Center | Hackensack | $234.00 | $150.93 – $245.70 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $220.12 | $72.00 – $220.12 |
| Jersey Shore University Medical Center | Neptune City | $219.93 | $144.57 – $263.92 |
| Palisades Medical Center | North Bergen | $234.00 | $150.93 – $255.06 |
| Raritan Bay Medical Center | Perth Amboy | $220.12 | $150.93 – $264.15 |
| Riverview Medical Center | Red Bank | $219.93 | $144.57 – $263.92 |
| Southern Ocean Medical Center | Manahawkin | $217.16 | $144.57 – $260.59 |