Ghs ed therapeutic lp, drain csf w fluoro at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$756.84
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.
$3,292.00
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.
$211.28 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $211.28 | ↓ -72% |
| AETNA | MANAGED MEDICAID | $339.38 | ↓ -55% |
| CLOVER | MEDICARE ADVANTAGE | $430.20 | ↓ -43% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $463.66 | ↓ -39% |
| VACCN | ALL PRODUCTS | $692.52 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $692.52 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $692.52 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $692.52 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $692.52 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $692.52 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $727.15 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $756.84 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $908.21 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,407.71 | ↑ +86% |
| HORIZON | MANAGED MEDICAID | $1,421.57 | ↑ +88% |
| OXFORD | ALL PRODUCTS | $1,571.66 | ↑ +108% |
| UNITED HEALTHCARE | HMO | $1,647.19 | ↑ +118% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $1,655.88 | ↑ +119% |
| BERGEN RISK | ALL PRODUCTS | $1,792.50 | ↑ +137% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $1,840.23 | ↑ +143% |
| HORIZON | PIP | $1,847.47 | ↑ +144% |
| QUALCARE | PPO | $1,857.03 | ↑ +145% |
| QUALCARE | HMO | $1,857.03 | ↑ +145% |
| AETNA | ASA | $1,871.37 | ↑ +147% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,031.50 | ↑ +168% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,031.50 | ↑ +168% |
| AMERIHEALTH | LOCAL HMO | $2,053.49 | ↑ +171% |
| QUALCARE | WORKERS COMP | $2,103.20 | ↑ +178% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,151.00 | ↑ +184% |
| CIGNA | HMO | $2,248.00 | ↑ +197% |
| INTERGROUP | SHARED SAVINGS | $2,304.40 | ↑ +204% |
| INTERGROUP | WORKERS COMP | $2,304.40 | ↑ +204% |
| AMERIHEALTH | REGIONAL HMO | $2,325.95 | ↑ +207% |
| CIGNA | PPO | $2,519.00 | ↑ +233% |
| PRIME HEALTH | AUTO INSURANCE | $2,633.60 | ↑ +248% |
| PRIME HEALTH | WORKERS COMP | $2,633.60 | ↑ +248% |
| AETNA | HMO | $2,951.94 | ↑ +290% |
| AETNA | PPO | $2,951.94 | ↑ +290% |
| HORIZON | OMNIA | $6,347.00 | ↑ +739% |
| HORIZON | SHP | $7,307.00 | ↑ +865% |
| HORIZON | HMO | $7,840.00 | ↑ +936% |
| HORIZON | INDEMNITY | $7,920.00 | ↑ +946% |
| HORIZON | PPO | $8,045.00 | ↑ +963% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +1241% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ghs ed therapeutic lp, drain csf w fluoro at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $766.52 | $766.52 – $919.83 |
| Hackensack University Medical Center | Hackensack | $815.55 | $216.67 – $856.33 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $767.19 | $216.67 – $767.19 |
| Jersey Shore University Medical Center | Neptune City | $766.52 | $211.28 – $919.83 |
| Palisades Medical Center | North Bergen | $815.55 | $216.67 – $888.95 |
| Raritan Bay Medical Center | Perth Amboy | $767.19 | $216.67 – $920.63 |
| Riverview Medical Center | Red Bank | $766.52 | $211.28 – $919.83 |
| Southern Ocean Medical Center | Manahawkin | $756.84 | $211.28 – $908.21 |