Exome sequence analysis at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$12,000.00
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.
$19,250.00
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.
$1,757.25 with AETNA vs $54,988.20 with CIGNA — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $1,757.25 | ↓ -85% |
| HORIZON | MANAGED MEDICAID | $2,357.44 | ↓ -80% |
| QUALCARE | HMO | $6,138.00 | ↓ -49% |
| OXFORD | ALL PRODUCTS | $6,694.88 | ↓ -44% |
| HORIZON | OMNIA | $8,061.08 | ↓ -33% |
| AETNA | HMO | $8,514.00 | ↓ -29% |
| AETNA | PPO | $8,514.00 | ↓ -29% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $8,662.50 | ↓ -28% |
| INTERGROUP | SHARED SAVINGS | $8,662.50 | ↓ -28% |
| INTERGROUP | WORKERS COMP | $8,662.50 | ↓ -28% |
| HORIZON | WORKERS COMP | $8,870.40 | ↓ -26% |
| BERGEN RISK | ALL PRODUCTS | $9,281.25 | ↓ -23% |
| QUALCARE | WORKERS COMP | $9,565.88 | ↓ -20% |
| HORIZON | PIP | $9,565.88 | ↓ -20% |
| QUALCARE | PPO | $9,565.88 | ↓ -20% |
| HORIZON | SHP | $9,648.79 | ↓ -20% |
| AETNA | ASA | $9,689.63 | ↓ -19% |
| PRIME HEALTH | WORKERS COMP | $9,900.00 | ↓ -18% |
| PRIME HEALTH | AUTO INSURANCE | $9,900.00 | ↓ -18% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,900.00 | ↓ -18% |
| HORIZON | HMO | $9,955.69 | ↓ -17% |
| HORIZON | INDEMNITY | $10,073.25 | ↓ -16% |
| HORIZON | PPO | $10,216.80 | ↓ -15% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $10,518.75 | ↓ -12% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $10,560.00 | ↓ -12% |
| AMERIHEALTH | LOCAL HMO | $10,632.60 | ↓ -11% |
| AMERIGROUP | MANAGED MEDICAID | $12,000.00 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $12,000.00 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $12,000.00 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $12,000.00 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $12,000.00 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $12,000.00 | ↑ +0% |
| VACCN | ALL PRODUCTS | $12,000.00 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $12,000.00 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $12,000.00 | ↑ +0% |
| AMERIHEALTH | REGIONAL HMO | $12,043.35 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $12,600.00 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $14,400.00 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $15,630.00 | ↑ +30% |
| UNITED HEALTHCARE | HMO | $24,630.00 | ↑ +105% |
| CIGNA | HMO | $54,988.20 | ↑ +358% |
| CIGNA | PPO | $54,988.20 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Exome sequence analysis at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $13,200.00 | $1,251.72 – $48,933.07 |
| Cooperman Barnabas Medical Center | Livingston | $13,200.00 | $789.55 – $48,933.07 |
| Community Medical Center | Toms River | $13,200.00 | $789.55 – $48,933.07 |
| Clara Maass Medical Center | Belleville | $13,200.00 | $789.55 – $48,933.07 |
| Newark Beth Israel Medical Center | Newark | $13,200.00 | $789.55 – $48,933.07 |
| Jersey City Medical Center | Jersey City | $13,200.00 | $789.55 – $48,933.07 |
| Monmouth Medical Center | Long Branch | $13,200.00 | $789.55 – $48,933.07 |
| Bayshore Medical Center | Holmdel | $12,000.00 | $12,000.00 – $54,988.20 |