Dornhoffer fixed part w/window at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
not published by hospital
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.
$83,600.80
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.
$142.85 with CLOVER vs $35,376.93 with KARNA — 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 | $142.85 | — |
| AETNA | MEDICARE ADVANTAGE | $161.89 | — |
| AMERIHEALTH | LOCAL HMO | $230.86 | — |
| AMERIHEALTH | REGIONAL HMO | $252.52 | — |
| CIGNA | HMO | $285.70 | — |
| CIGNA | PPO | $285.70 | — |
| HORIZON | MANAGED MEDICAID | $302.36 | — |
| WELLCARE | MEDICARE ADVANTAGE | $357.12 | — |
| QUALCARE | HMO | $371.40 | — |
| AETNA | MANAGED MEDICAID | $388.86 | — |
| HORIZON | INDEMNITY | $396.80 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $396.80 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $396.80 | — |
| HORIZON | SHP | $396.80 | — |
| HORIZON | PPO | $396.80 | — |
| HORIZON | OMNIA | $396.80 | — |
| HORIZON | HMO | $396.80 | — |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $399.18 | — |
| QUALCARE | PPO | $408.70 | — |
| QUALCARE | WORKERS COMP | $408.70 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $420.61 | — |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $443.62 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $467.43 | — |
| BERGEN RISK | ALL PRODUCTS | $476.16 | — |
| INTERGROUP | SHARED SAVINGS | $555.52 | — |
| BRIGHTON HEALTH PLAN | PNO | $555.52 | — |
| INTERGROUP | WORKERS COMP | $555.52 | — |
| HORIZON | WORKERS COMP | $568.85 | — |
| HORIZON | PIP | $613.45 | — |
| AETNA | ASA | $621.39 | — |
| PRIME HEALTH | WORKERS COMP | $634.88 | — |
| PRIME HEALTH | AUTO INSURANCE | $634.88 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $674.56 | — |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $793.60 | — |
| AETNA | HMO | $1,775.93 | — |
| AETNA | PPO | $1,775.93 | — |
| OXFORD | ALL PRODUCTS | $1,976.58 | — |
| UNITED HEALTHCARE | HMO | $1,983.89 | — |
| WELLCARE | MANAGED MEDICAID | $18,198.48 | — |
| KARNA | MEDICARE ADVANTAGE | $35,376.93 | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Dornhoffer fixed part w/window at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $12,848.09 | $23,000.09 – $45,770.18 |
| Cooperman Barnabas Medical Center | Livingston | $10,360.42 | $23,000.09 – $46,000.18 |
| Community Medical Center | Toms River | $10,140.40 | $23,000.09 – $45,770.18 |
| Clara Maass Medical Center | Belleville | $9,724.81 | $23,000.09 – $45,770.18 |
| Newark Beth Israel Medical Center | Newark | $10,184.40 | $23,000.09 – $45,770.18 |
| Jersey City Medical Center | Jersey City | $10,159.96 | $23,000.09 – $45,770.18 |
| Monmouth Medical Center | Long Branch | $10,697.78 | $23,000.09 – $45,770.18 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $11,218.98 | $23,000.09 – $45,770.18 |