Electron microscopy diagnostic at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$892.77
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.
$2,211.00
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.
$203.62 with UNITED HEALTHCARE vs $2,151.75 with AMERIHEALTH — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $203.62 | ↓ -77% |
| AETNA | MANAGED MEDICAID | $313.96 | ↓ -65% |
| HORIZON | MANAGED MEDICAID | $421.20 | ↓ -53% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $428.93 | ↓ -52% |
| AMERIGROUP | MEDICARE ADVANTAGE | $816.90 | ↓ -8% |
| VACCN | ALL PRODUCTS | $816.90 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $816.90 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $816.90 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $816.90 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $816.90 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $857.75 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $892.77 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $895.49 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $1,071.33 | ↑ +20% |
| QUALCARE | HMO | $1,096.66 | ↑ +23% |
| OXFORD | ALL PRODUCTS | $1,196.15 | ↑ +34% |
| UNITED HEALTHCARE | HMO | $1,346.75 | ↑ +51% |
| HORIZON | OMNIA | $1,440.25 | ↑ +61% |
| AETNA | PPO | $1,521.17 | ↑ +70% |
| AETNA | HMO | $1,521.17 | ↑ +70% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,547.70 | ↑ +73% |
| INTERGROUP | SHARED SAVINGS | $1,547.70 | ↑ +73% |
| INTERGROUP | WORKERS COMP | $1,547.70 | ↑ +73% |
| HORIZON | WORKERS COMP | $1,584.84 | ↑ +78% |
| BERGEN RISK | ALL PRODUCTS | $1,658.25 | ↑ +86% |
| QUALCARE | PPO | $1,709.10 | ↑ +91% |
| HORIZON | PIP | $1,709.10 | ↑ +91% |
| QUALCARE | WORKERS COMP | $1,709.10 | ↑ +91% |
| HORIZON | SHP | $1,723.92 | ↑ +93% |
| AETNA | ASA | $1,731.21 | ↑ +94% |
| PRIME HEALTH | AUTO INSURANCE | $1,768.80 | ↑ +98% |
| PRIME HEALTH | WORKERS COMP | $1,768.80 | ↑ +98% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,768.80 | ↑ +98% |
| HORIZON | HMO | $1,778.75 | ↑ +99% |
| HORIZON | INDEMNITY | $1,799.75 | ↑ +102% |
| HORIZON | PPO | $1,825.40 | ↑ +104% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,879.35 | ↑ +111% |
| AMERIHEALTH | LOCAL HMO | $1,899.69 | ↑ +113% |
| CIGNA | HMO | $2,114.38 | ↑ +137% |
| CIGNA | PPO | $2,114.38 | ↑ +137% |
| AMERIHEALTH | REGIONAL HMO | $2,151.75 | ↑ +141% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Electron microscopy diagnostic at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $904.19 | $629.97 – $1,346.75 |
| Hackensack University Medical Center | Hackensack | $962.03 | $273.55 – $1,010.13 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $904.98 | $203.62 – $1,430.41 |
| Jersey Shore University Medical Center | Neptune City | $904.19 | $629.97 – $985.57 |
| Palisades Medical Center | North Bergen | $962.03 | $301.76 – $2,767.57 |
| Raritan Bay Medical Center | Perth Amboy | $904.98 | $629.97 – $1,346.75 |
| Riverview Medical Center | Red Bank | $904.19 | $211.60 – $1,346.75 |
| Southern Ocean Medical Center | Manahawkin | $892.77 | $629.97 – $973.12 |