Fna bx w/mr gdn 1st les at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$768.94
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.
$2,750.00
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.
$390.50 with AETNA vs $10,149.00 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $390.50 | ↓ -49% |
| CLOVER | MEDICARE ADVANTAGE | $495.00 | ↓ -36% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $533.50 | ↓ -31% |
| AETNA | MEDICARE ADVANTAGE | $703.59 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $703.59 | ↓ -8% |
| VACCN | ALL PRODUCTS | $703.59 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $703.59 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $703.59 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $703.59 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $738.77 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $768.94 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $922.73 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $1,022.19 | ↑ +33% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $1,383.25 | ↑ +80% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $1,537.25 | ↑ +100% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,619.75 | ↑ +111% |
| HORIZON | MANAGED MEDICAID | $1,635.70 | ↑ +113% |
| OXFORD | ALL PRODUCTS | $1,808.40 | ↑ +135% |
| UNITED HEALTHCARE | HMO | $1,895.30 | ↑ +146% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,925.00 | ↑ +150% |
| INTERGROUP | WORKERS COMP | $1,925.00 | ↑ +150% |
| INTERGROUP | SHARED SAVINGS | $1,925.00 | ↑ +150% |
| BERGEN RISK | ALL PRODUCTS | $2,062.50 | ↑ +168% |
| HORIZON | PIP | $2,125.75 | ↑ +176% |
| QUALCARE | HMO | $2,136.75 | ↑ +178% |
| QUALCARE | PPO | $2,136.75 | ↑ +178% |
| AETNA | ASA | $2,153.25 | ↑ +180% |
| PRIME HEALTH | WORKERS COMP | $2,200.00 | ↑ +186% |
| PRIME HEALTH | AUTO INSURANCE | $2,200.00 | ↑ +186% |
| CIGNA | HMO | $2,248.00 | ↑ +192% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,337.50 | ↑ +204% |
| AMERIHEALTH | LOCAL HMO | $2,362.80 | ↑ +207% |
| QUALCARE | WORKERS COMP | $2,420.00 | ↑ +215% |
| AETNA | HMO | $2,465.93 | ↑ +221% |
| AETNA | PPO | $2,465.93 | ↑ +221% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,475.00 | ↑ +222% |
| CIGNA | PPO | $2,488.48 | ↑ +224% |
| AMERIHEALTH | REGIONAL HMO | $2,676.30 | ↑ +248% |
| HORIZON | OMNIA | $6,347.00 | ↑ +725% |
| HORIZON | SHP | $7,307.00 | ↑ +850% |
| HORIZON | HMO | $7,840.00 | ↑ +920% |
| HORIZON | INDEMNITY | $7,920.00 | ↑ +930% |
| HORIZON | PPO | $8,045.00 | ↑ +946% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +1220% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Fna bx w/mr gdn 1st les at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $778.78 | $778.78 – $934.53 |
| Hackensack University Medical Center | Hackensack | $828.59 | $662.87 – $1,043.77 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $779.45 | $703.59 – $1,043.77 |
| Jersey Shore University Medical Center | Neptune City | $778.78 | $778.78 – $1,022.19 |
| Palisades Medical Center | North Bergen | $828.59 | $828.59 – $1,043.77 |
| Raritan Bay Medical Center | Perth Amboy | $779.45 | $779.45 – $1,043.77 |
| Riverview Medical Center | Red Bank | $778.78 | $778.78 – $1,022.19 |
| Southern Ocean Medical Center | Manahawkin | $768.94 | $768.94 – $1,022.19 |