Fl exam g/colon tube w contrast at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$264.17
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.
$759.00
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.
$0.01 with CIGNA vs $10,671.00 with HORIZON — 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 |
|---|---|---|---|
| CIGNA | PPO | $0.01 | ↓ -100% |
| CIGNA | HMO | $0.01 | ↓ -100% |
| KARNA | MEDICARE ADVANTAGE | $60.77 | ↓ -77% |
| AETNA | MANAGED MEDICAID | $92.16 | ↓ -65% |
| CLOVER | MEDICARE ADVANTAGE | $116.82 | ↓ -56% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $125.91 | ↓ -52% |
| WELLCARE | MEDICARE ADVANTAGE | $241.72 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $241.72 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $241.72 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $241.72 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $241.72 | ↓ -8% |
| VACCN | ALL PRODUCTS | $241.72 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $253.81 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $264.17 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $317.01 | ↑ +20% |
| HORIZON | OMNIA | $422.76 | ↑ +60% |
| BERGEN RISK | ALL PRODUCTS | $486.75 | ↑ +84% |
| HORIZON | PIP | $501.68 | ↑ +90% |
| QUALCARE | PPO | $504.27 | ↑ +91% |
| HORIZON | SHP | $506.03 | ↑ +92% |
| AETNA | ASA | $508.17 | ↑ +92% |
| HORIZON | HMO | $522.12 | ↑ +98% |
| HORIZON | INDEMNITY | $528.29 | ↑ +100% |
| INTERGROUP | WORKERS COMP | $531.30 | ↑ +101% |
| INTERGROUP | SHARED SAVINGS | $531.30 | ↑ +101% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $531.30 | ↑ +101% |
| HORIZON | PPO | $535.81 | ↑ +103% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $551.65 | ↑ +109% |
| AMERIHEALTH | LOCAL HMO | $557.62 | ↑ +111% |
| QUALCARE | WORKERS COMP | $571.12 | ↑ +116% |
| PRIME HEALTH | AUTO INSURANCE | $607.20 | ↑ +130% |
| PRIME HEALTH | WORKERS COMP | $607.20 | ↑ +130% |
| AMERIHEALTH | REGIONAL HMO | $631.61 | ↑ +139% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +350% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↑ +496% |
| OXFORD | ALL PRODUCTS | $2,810.00 | ↑ +964% |
| UNITED HEALTHCARE | HMO | $3,454.00 | ↑ +1207% |
| QUALCARE | HMO | $6,256.00 | ↑ +2268% |
| AETNA | PPO | $8,419.00 | ↑ +3087% |
| AETNA | HMO | $8,419.00 | ↑ +3087% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +3660% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +3939% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Fl exam g/colon tube w contrast at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $267.55 | $267.55 – $321.06 |
| Hackensack University Medical Center | Hackensack | $284.66 | $62.40 – $298.90 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $267.78 | $62.40 – $267.78 |
| Jersey Shore University Medical Center | Neptune City | $267.55 | $60.77 – $321.06 |
| Palisades Medical Center | North Bergen | $284.66 | $62.40 – $310.28 |
| Raritan Bay Medical Center | Perth Amboy | $267.78 | $62.40 – $970.72 |
| Riverview Medical Center | Red Bank | $267.55 | $60.77 – $321.06 |
| Southern Ocean Medical Center | Manahawkin | $264.17 | $60.77 – $317.01 |