healthcosts.net
ER Visit (level 1, minor) at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$96.23
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.
$671.00
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.
$18.61 with KARNA vs $3,349.00 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 | $18.61 | ↓ -81% |
| AMERIGROUP | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| HORIZON | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| AETNA | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| WELLCARE | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| VACCN | ALL PRODUCTS | $88.05 | ↓ -9% |
| WELLCARE | MANAGED MEDICAID | $88.05 | ↓ -9% |
| AETNA | MANAGED MEDICAID | $92.16 | ↓ -4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $92.45 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $96.23 | ↑ +0% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $97.00 | ↑ +1% |
| UNITED HEALTHCARE | DSNP | $115.47 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $116.82 | ↑ +21% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $125.91 | ↑ +31% |
| HORIZON | MANAGED MEDICAID | $134.00 | ↑ +39% |
| HORIZON | OMNIA | $314.00 | ↑ +226% |
| HORIZON | SHP | $363.00 | ↑ +277% |
| QUALCARE | HMO | $368.00 | ↑ +282% |
| OXFORD | ALL PRODUCTS | $381.00 | ↑ +296% |
| HORIZON | HMO | $387.00 | ↑ +302% |
| UNITED HEALTHCARE | HMO | $393.00 | ↑ +308% |
| HORIZON | INDEMNITY | $396.00 | ↑ +312% |
| HORIZON | PPO | $397.00 | ↑ +313% |
| CIGNA | PPO | $411.00 | ↑ +327% |
| CIGNA | HMO | $411.00 | ↑ +327% |
| AETNA | PPO | $423.00 | ↑ +340% |
| AETNA | HMO | $423.00 | ↑ +340% |
| AETNA | ASA | $445.00 | ↑ +362% |
| INTERGROUP | SHARED SAVINGS | $469.70 | ↑ +388% |
| INTERGROUP | WORKERS COMP | $469.70 | ↑ +388% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $469.70 | ↑ +388% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $481.00 | ↑ +400% |
| HORIZON | PIP | $501.68 | ↑ +421% |
| QUALCARE | PPO | $504.27 | ↑ +424% |
| PRIME HEALTH | WORKERS COMP | $536.80 | ↑ +458% |
| PRIME HEALTH | AUTO INSURANCE | $536.80 | ↑ +458% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $551.65 | ↑ +473% |
| QUALCARE | WORKERS COMP | $571.12 | ↑ +493% |
| AMERIHEALTH | LOCAL HMO | $1,416.00 | ↑ +1371% |
| BERGEN RISK | ALL PRODUCTS | $1,522.00 | ↑ +1482% |
| AMERIHEALTH | REGIONAL HMO | $1,599.00 | ↑ +1562% |
| HORIZON | WORKERS COMP | $3,349.00 | ↑ +3380% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $97.46 | $97.46 – $1,522.00 |
| Hackensack University Medical Center | Hackensack | $103.69 | $19.04 – $1,522.00 |