Established Patient Office Visit (level 3) at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
not published by hospital
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.
$385.00
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.
$67.32 with CLOVER vs $363.98 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $67.32 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $72.56 | — |
| AETNA | MEDICARE ADVANTAGE | $76.30 | — |
| AETNA | MANAGED MEDICAID | $84.85 | — |
| KARNA | MEDICARE ADVANTAGE | $107.88 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $111.00 | — |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $193.66 | — |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $215.22 | — |
| HORIZON | MANAGED MEDICAID | $222.46 | — |
| HORIZON | OMNIA | $243.62 | — |
| OXFORD | ALL PRODUCTS | $245.94 | — |
| UNITED HEALTHCARE | HMO | $257.76 | — |
| HORIZON | WORKERS COMP | $268.08 | — |
| INTERGROUP | WORKERS COMP | $269.50 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $269.50 | — |
| INTERGROUP | SHARED SAVINGS | $269.50 | — |
| BERGEN RISK | ALL PRODUCTS | $280.50 | — |
| HORIZON | PIP | $289.10 | — |
| QUALCARE | PPO | $290.60 | — |
| QUALCARE | HMO | $290.60 | — |
| HORIZON | SHP | $291.61 | — |
| AETNA | ASA | $292.84 | — |
| HORIZON | HMO | $300.88 | — |
| HORIZON | INDEMNITY | $304.44 | — |
| PRIME HEALTH | AUTO INSURANCE | $308.00 | — |
| PRIME HEALTH | WORKERS COMP | $308.00 | — |
| HORIZON | PPO | $308.77 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $317.90 | — |
| AMERIHEALTH | LOCAL HMO | $321.34 | — |
| QUALCARE | WORKERS COMP | $329.12 | — |
| AETNA | HMO | $336.60 | — |
| AETNA | PPO | $336.60 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $336.60 | — |
| AMERIHEALTH | REGIONAL HMO | $363.98 | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 3) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $96.29 | $48.38 – $81.60 |
| Cooperman Barnabas Medical Center | Livingston | $108.70 | $81.60 – $81.60 |
| Community Medical Center | Toms River | $106.39 | $81.60 – $81.60 |
| Clara Maass Medical Center | Belleville | $102.03 | $81.60 – $81.60 |
| Childrens Specialized Hospital | Mountainside | $224.00 | $223.15 – $223.15 |
| Newark Beth Israel Medical Center | Newark | $106.85 | $49.80 – $81.60 |
| Jersey City Medical Center | Jersey City | $106.60 | $62.61 – $81.60 |
| Monmouth Medical Center | Long Branch | $112.24 | $81.60 – $81.60 |