Encephalitis, california igg/igm at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$13.19
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.
$180.00
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.
$3.27 with AETNA vs $60.44 with CIGNA — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $3.27 | ↓ -75% |
| HORIZON | MANAGED MEDICAID | $4.38 | ↓ -67% |
| QUALCARE | HMO | $11.41 | ↓ -13% |
| OXFORD | ALL PRODUCTS | $12.44 | ↓ -6% |
| AMERIGROUP | MEDICARE ADVANTAGE | $13.19 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $13.19 | ↑ +0% |
| VACCN | ALL PRODUCTS | $13.19 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $13.19 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $13.19 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $13.19 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $13.19 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $13.19 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $13.19 | ↑ +0% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $13.20 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $13.85 | ↑ +5% |
| HORIZON | OMNIA | $14.98 | ↑ +14% |
| AETNA | HMO | $15.82 | ↑ +20% |
| AETNA | PPO | $15.82 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $15.83 | ↑ +20% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $16.10 | ↑ +22% |
| INTERGROUP | SHARED SAVINGS | $16.10 | ↑ +22% |
| INTERGROUP | WORKERS COMP | $16.10 | ↑ +22% |
| HORIZON | WORKERS COMP | $16.49 | ↑ +25% |
| KARNA | MEDICARE ADVANTAGE | $17.18 | ↑ +30% |
| BERGEN RISK | ALL PRODUCTS | $17.25 | ↑ +31% |
| QUALCARE | PPO | $17.78 | ↑ +35% |
| HORIZON | PIP | $17.78 | ↑ +35% |
| QUALCARE | WORKERS COMP | $17.78 | ↑ +35% |
| HORIZON | SHP | $17.93 | ↑ +36% |
| AETNA | ASA | $18.01 | ↑ +37% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $18.40 | ↑ +39% |
| PRIME HEALTH | AUTO INSURANCE | $18.40 | ↑ +39% |
| PRIME HEALTH | WORKERS COMP | $18.40 | ↑ +39% |
| HORIZON | HMO | $18.50 | ↑ +40% |
| HORIZON | INDEMNITY | $18.72 | ↑ +42% |
| HORIZON | PPO | $18.99 | ↑ +44% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $19.55 | ↑ +48% |
| AMERIHEALTH | LOCAL HMO | $19.76 | ↑ +50% |
| AMERIHEALTH | REGIONAL HMO | $22.38 | ↑ +70% |
| UNITED HEALTHCARE | HMO | $27.07 | ↑ +105% |
| CIGNA | HMO | $60.44 | ↑ +358% |
| CIGNA | PPO | $60.44 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Encephalitis, california igg/igm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $13.19 | $13.19 – $60.44 |
| Hackensack University Medical Center | Hackensack | $13.19 | $10.55 – $59.23 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $13.19 | $13.19 – $62.08 |
| Jersey Shore University Medical Center | Neptune City | $13.19 | $10.55 – $60.44 |
| Palisades Medical Center | North Bergen | $13.19 | $13.19 – $60.44 |
| Raritan Bay Medical Center | Perth Amboy | $13.19 | $13.19 – $60.44 |
| Riverview Medical Center | Red Bank | $13.19 | $13.19 – $60.44 |
| Southern Ocean Medical Center | Manahawkin | $13.19 | $13.19 – $60.44 |