Dialysis one evaluation at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$465.37
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.
$1,433.00
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.
$140.27 with KARNA vs $1,607.00 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 | $140.27 | ↓ -70% |
| AETNA | MANAGED MEDICAID | $203.49 | ↓ -56% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $218.00 | ↓ -53% |
| CLOVER | MEDICARE ADVANTAGE | $257.94 | ↓ -45% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $278.00 | ↓ -40% |
| VACCN | ALL PRODUCTS | $425.82 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $425.82 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $425.82 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $425.82 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $425.82 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $425.82 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $447.11 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $465.37 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $558.44 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $728.97 | ↑ +57% |
| AMERIHEALTH | REGIONAL HMO | $812.22 | ↑ +75% |
| HORIZON | MANAGED MEDICAID | $852.35 | ↑ +83% |
| HORIZON | OMNIA | $933.46 | ↑ +101% |
| INTERGROUP | WORKERS COMP | $1,003.10 | ↑ +116% |
| INTERGROUP | SHARED SAVINGS | $1,003.10 | ↑ +116% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,003.10 | ↑ +116% |
| HORIZON | WORKERS COMP | $1,027.17 | ↑ +121% |
| BERGEN RISK | ALL PRODUCTS | $1,074.75 | ↑ +131% |
| HORIZON | PIP | $1,107.71 | ↑ +138% |
| QUALCARE | HMO | $1,113.44 | ↑ +139% |
| QUALCARE | PPO | $1,113.44 | ↑ +139% |
| HORIZON | SHP | $1,117.31 | ↑ +140% |
| AETNA | ASA | $1,122.04 | ↑ +141% |
| PRIME HEALTH | AUTO INSURANCE | $1,146.40 | ↑ +146% |
| PRIME HEALTH | WORKERS COMP | $1,146.40 | ↑ +146% |
| HORIZON | HMO | $1,152.85 | ↑ +148% |
| AETNA | PPO | $1,157.86 | ↑ +149% |
| AETNA | HMO | $1,157.86 | ↑ +149% |
| HORIZON | INDEMNITY | $1,166.46 | ↑ +151% |
| HORIZON | PPO | $1,183.08 | ↑ +154% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,218.05 | ↑ +162% |
| QUALCARE | WORKERS COMP | $1,261.04 | ↑ +171% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,289.70 | ↑ +177% |
| CIGNA | HMO | $1,370.38 | ↑ +194% |
| CIGNA | PPO | $1,370.38 | ↑ +194% |
| OXFORD | ALL PRODUCTS | $1,566.00 | ↑ +237% |
| UNITED HEALTHCARE | HMO | $1,607.00 | ↑ +245% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Dialysis one evaluation at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $471.32 | $218.00 – $1,567.00 |
| Hackensack University Medical Center | Hackensack | $501.47 | $144.87 – $1,647.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $471.73 | $144.87 – $2,180.00 |
| Jersey Shore University Medical Center | Neptune City | $471.32 | $140.27 – $1,592.00 |
| Palisades Medical Center | North Bergen | $501.47 | $144.87 – $599.00 |
| Raritan Bay Medical Center | Perth Amboy | $471.73 | $144.87 – $1,553.00 |
| Riverview Medical Center | Red Bank | $471.32 | $140.27 – $1,588.00 |
| Southern Ocean Medical Center | Manahawkin | $465.37 | $140.27 – $1,579.00 |