healthcosts.net
ER Visit (level 5, high severity) at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$670.04
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.
$4,125.00
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 $3,630.00 with QUALCARE — 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 | ↓ -79% |
| KARNA | MEDICARE ADVANTAGE | $284.08 | ↓ -58% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $358.00 | ↓ -47% |
| HORIZON | MANAGED MEDICAID | $389.00 | ↓ -42% |
| AETNA | MANAGED MEDICAID | $585.75 | ↓ -13% |
| AMERIGROUP | MEDICARE ADVANTAGE | $613.10 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $613.10 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $613.10 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $613.10 | ↓ -8% |
| VACCN | ALL PRODUCTS | $613.10 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $613.10 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $643.76 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $670.04 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $742.50 | ↑ +11% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $800.25 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $804.05 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $1,416.00 | ↑ +111% |
| BERGEN RISK | ALL PRODUCTS | $1,522.00 | ↑ +127% |
| AMERIHEALTH | REGIONAL HMO | $1,599.00 | ↑ +139% |
| CIGNA | HMO | $1,789.00 | ↑ +167% |
| CIGNA | PPO | $1,977.00 | ↑ +195% |
| QUALCARE | HMO | $2,142.00 | ↑ +220% |
| QUALCARE | PPO | $2,142.00 | ↑ +220% |
| HORIZON | OMNIA | $2,169.00 | ↑ +224% |
| HORIZON | SHP | $2,495.00 | ↑ +272% |
| HORIZON | HMO | $2,677.00 | ↑ +300% |
| OXFORD | ALL PRODUCTS | $2,726.00 | ↑ +307% |
| UNITED HEALTHCARE | HMO | $2,818.00 | ↑ +321% |
| INTERGROUP | SHARED SAVINGS | $2,887.50 | ↑ +331% |
| INTERGROUP | WORKERS COMP | $2,887.50 | ↑ +331% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,887.50 | ↑ +331% |
| HORIZON | INDEMNITY | $3,001.00 | ↑ +348% |
| HORIZON | PPO | $3,102.00 | ↑ +363% |
| AETNA | PPO | $3,144.00 | ↑ +369% |
| AETNA | HMO | $3,144.00 | ↑ +369% |
| HORIZON | PIP | $3,188.63 | ↑ +376% |
| AETNA | ASA | $3,229.88 | ↑ +382% |
| PRIME HEALTH | WORKERS COMP | $3,300.00 | ↑ +393% |
| PRIME HEALTH | AUTO INSURANCE | $3,300.00 | ↑ +393% |
| HORIZON | WORKERS COMP | $3,349.00 | ↑ +400% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,506.25 | ↑ +423% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,539.00 | ↑ +428% |
| QUALCARE | WORKERS COMP | $3,630.00 | ↑ +442% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $678.62 | $676.50 – $3,506.25 |
| Hackensack University Medical Center | Hackensack | $722.02 | $290.51 – $3,506.25 |