healthcosts.net
ER Visit (level 4) 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.
$3,036.00
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.
$140.00 with AMERIGROUP vs $3,539.00 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| AMERIGROUP | MANAGED MEDICAID | $140.00 | ↓ -70% |
| KARNA | MEDICARE ADVANTAGE | $196.20 | ↓ -58% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $358.00 | ↓ -23% |
| HORIZON | MANAGED MEDICAID | $389.00 | ↓ -16% |
| AMERIGROUP | MEDICARE ADVANTAGE | $425.82 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $425.82 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $425.82 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $425.82 | ↓ -8% |
| VACCN | ALL PRODUCTS | $425.82 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $425.82 | ↓ -8% |
| AETNA | MANAGED MEDICAID | $429.55 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $447.11 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $465.37 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $544.50 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $558.44 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $586.85 | ↑ +26% |
| AMERIHEALTH | LOCAL HMO | $1,416.00 | ↑ +204% |
| BERGEN RISK | ALL PRODUCTS | $1,522.00 | ↑ +227% |
| AMERIHEALTH | REGIONAL HMO | $1,599.00 | ↑ +244% |
| CIGNA | HMO | $1,789.00 | ↑ +284% |
| CIGNA | PPO | $1,977.00 | ↑ +325% |
| INTERGROUP | SHARED SAVINGS | $2,125.20 | ↑ +357% |
| INTERGROUP | WORKERS COMP | $2,125.20 | ↑ +357% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,125.20 | ↑ +357% |
| QUALCARE | HMO | $2,142.00 | ↑ +360% |
| QUALCARE | PPO | $2,142.00 | ↑ +360% |
| HORIZON | OMNIA | $2,169.00 | ↑ +366% |
| HORIZON | PIP | $2,338.33 | ↑ +402% |
| AETNA | ASA | $2,368.58 | ↑ +409% |
| PRIME HEALTH | WORKERS COMP | $2,428.80 | ↑ +422% |
| PRIME HEALTH | AUTO INSURANCE | $2,428.80 | ↑ +422% |
| HORIZON | SHP | $2,495.00 | ↑ +436% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,571.25 | ↑ +453% |
| QUALCARE | WORKERS COMP | $2,662.00 | ↑ +472% |
| HORIZON | HMO | $2,677.00 | ↑ +475% |
| OXFORD | ALL PRODUCTS | $2,726.00 | ↑ +486% |
| UNITED HEALTHCARE | HMO | $2,818.00 | ↑ +506% |
| AETNA | PPO | $2,934.00 | ↑ +530% |
| AETNA | HMO | $2,934.00 | ↑ +530% |
| HORIZON | INDEMNITY | $3,001.00 | ↑ +545% |
| HORIZON | PPO | $3,102.00 | ↑ +567% |
| HORIZON | WORKERS COMP | $3,349.00 | ↑ +620% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,539.00 | ↑ +660% |
Visitor-reported prices
Comments
ER Visit (level 4) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $471.32 | $471.32 – $2,571.25 |
| Hackensack University Medical Center | Hackensack | $501.47 | $200.68 – $2,580.60 |