Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$2,134.14
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.
$6,001.00
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.
$395.61 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $395.61 | ↓ -81% |
| AETNA | MANAGED MEDICAID | $812.24 | ↓ -62% |
| CLOVER | MEDICARE ADVANTAGE | $1,029.60 | ↓ -52% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,109.68 | ↓ -48% |
| AETNA | MEDICARE ADVANTAGE | $1,166.88 | ↓ -45% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -44% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↓ -26% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,952.77 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $1,952.77 | ↓ -8% |
| VACCN | ALL PRODUCTS | $1,952.77 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $1,952.77 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $1,952.77 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,050.41 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,134.14 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $2,560.97 | ↑ +20% |
| BRIGHTON HEALTH PLAN | PNO | $3,377.16 | ↑ +58% |
| HORIZON | OMNIA | $3,726.01 | ↑ +75% |
| INTERGROUP | SHARED SAVINGS | $4,200.70 | ↑ +97% |
| INTERGROUP | WORKERS COMP | $4,200.70 | ↑ +97% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,200.70 | ↑ +97% |
| BERGEN RISK | ALL PRODUCTS | $4,290.00 | ↑ +101% |
| HORIZON | PIP | $4,421.56 | ↑ +107% |
| QUALCARE | PPO | $4,444.44 | ↑ +108% |
| HORIZON | SHP | $4,459.88 | ↑ +109% |
| AETNA | ASA | $4,478.76 | ↑ +110% |
| HORIZON | HMO | $4,601.74 | ↑ +116% |
| HORIZON | INDEMNITY | $4,656.08 | ↑ +118% |
| HORIZON | PPO | $4,722.43 | ↑ +121% |
| PRIME HEALTH | AUTO INSURANCE | $4,800.80 | ↑ +125% |
| PRIME HEALTH | WORKERS COMP | $4,800.80 | ↑ +125% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,862.00 | ↑ +128% |
| AMERIHEALTH | LOCAL HMO | $4,914.62 | ↑ +130% |
| CIGNA | HMO | $5,027.00 | ↑ +136% |
| QUALCARE | WORKERS COMP | $5,033.60 | ↑ +136% |
| CIGNA | PPO | $5,430.30 | ↑ +154% |
| AMERIHEALTH | REGIONAL HMO | $5,566.70 | ↑ +161% |
| QUALCARE | HMO | $6,256.00 | ↑ +193% |
| OXFORD | ALL PRODUCTS | $8,183.00 | ↑ +283% |
| AETNA | PPO | $8,419.00 | ↑ +294% |
| AETNA | HMO | $8,419.00 | ↑ +294% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +365% |
| UNITED HEALTHCARE | HMO | $10,334.00 | ↑ +384% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +400% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $2,161.44 | $2,161.44 – $2,593.73 |
| Hackensack University Medical Center | Hackensack | $2,299.70 | $408.53 – $2,414.68 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,163.32 | $408.53 – $3,377.16 |
| Jersey Shore University Medical Center | Neptune City | $2,161.44 | $395.61 – $2,593.73 |
| Palisades Medical Center | North Bergen | $2,299.70 | $408.53 – $2,506.67 |
| Raritan Bay Medical Center | Perth Amboy | $2,163.32 | $408.53 – $2,595.98 |
| Riverview Medical Center | Red Bank | $2,161.44 | $395.61 – $2,593.73 |
| Southern Ocean Medical Center | Manahawkin | $2,134.14 | $395.61 – $2,560.97 |