Exc trchntr pr ulc flp ostc at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$4,001.00
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.
not published by hospital
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.
$2,103.93 with KARNA vs $5,725.89 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $2,103.93 | ↓ -47% |
| AMERIGROUP | MEDICARE ADVANTAGE | $3,660.97 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $3,660.97 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $3,660.97 | ↓ -8% |
| VACCN | ALL PRODUCTS | $3,660.97 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $3,660.97 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $3,660.97 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,844.02 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,001.00 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $4,801.20 | ↑ +20% |
| BRIGHTON HEALTH PLAN | PNO | $5,725.89 | ↑ +43% |
Visitor-reported prices
Comments
Exc trchntr pr ulc flp ostc at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $4,052.18 | $4,052.18 – $4,862.62 |
| Hackensack University Medical Center | Hackensack | $4,311.38 | $2,178.07 – $4,526.95 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $4,055.70 | $774.24 – $5,725.89 |
| Jersey Shore University Medical Center | Neptune City | $4,052.18 | $2,103.93 – $4,862.62 |
| Palisades Medical Center | North Bergen | $4,311.38 | $2,178.07 – $4,699.40 |
| Raritan Bay Medical Center | Perth Amboy | $4,055.70 | $2,178.07 – $4,866.83 |
| Riverview Medical Center | Red Bank | $4,052.18 | $2,103.93 – $4,862.62 |
| Southern Ocean Medical Center | Manahawkin | $4,001.00 | $2,103.93 – $4,801.20 |