Ghs optokenetic at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$170.99
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.
$416.00
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.
$29.45 with KARNA vs $411.42 with AMERIHEALTH — 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 | $29.45 | ↓ -83% |
| AETNA | MANAGED MEDICAID | $59.07 | ↓ -65% |
| CLOVER | MEDICARE ADVANTAGE | $74.88 | ↓ -56% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $80.70 | ↓ -53% |
| AMERIGROUP | MEDICARE ADVANTAGE | $90.69 | ↓ -47% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.00 | ↓ -32% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $141.19 | ↓ -17% |
| HORIZON | MEDICARE ADVANTAGE | $156.46 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $156.46 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $156.46 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $156.46 | ↓ -8% |
| VACCN | ALL PRODUCTS | $156.46 | ↓ -8% |
| AETNA | HMO | $157.33 | ↓ -8% |
| AETNA | PPO | $157.33 | ↓ -8% |
| AETNA | ASA | $157.33 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $164.28 | ↓ -4% |
| HORIZON | HMO | $204.00 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $205.19 | ↑ +20% |
| HORIZON | WORKERS COMP | $208.00 | ↑ +22% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $208.00 | ↑ +22% |
| HORIZON | MANAGED MEDICAID | $247.44 | ↑ +45% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $249.60 | ↑ +46% |
| HORIZON | PIP | $253.34 | ↑ +48% |
| HORIZON | INDEMNITY | $253.34 | ↑ +48% |
| HORIZON | OMNIA | $253.34 | ↑ +48% |
| HORIZON | PPO | $253.34 | ↑ +48% |
| HORIZON | SHP | $253.34 | ↑ +48% |
| OXFORD | ALL PRODUCTS | $269.07 | ↑ +57% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $270.40 | ↑ +58% |
| INTERGROUP | SHARED SAVINGS | $291.20 | ↑ +70% |
| INTERGROUP | WORKERS COMP | $291.20 | ↑ +70% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $291.20 | ↑ +70% |
| UNITED HEALTHCARE | HMO | $299.00 | ↑ +75% |
| BERGEN RISK | ALL PRODUCTS | $312.00 | ↑ +82% |
| QUALCARE | HMO | $323.23 | ↑ +89% |
| QUALCARE | PPO | $323.23 | ↑ +89% |
| PRIME HEALTH | WORKERS COMP | $332.80 | ↑ +95% |
| PRIME HEALTH | AUTO INSURANCE | $332.80 | ↑ +95% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $353.60 | ↑ +107% |
| QUALCARE | WORKERS COMP | $366.08 | ↑ +114% |
| CIGNA | HMO | $397.82 | ↑ +133% |
| CIGNA | PPO | $397.82 | ↑ +133% |
| AMERIHEALTH | REGIONAL HMO | $411.42 | ↑ +141% |
| AMERIHEALTH | LOCAL HMO | $411.42 | ↑ +141% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ghs optokenetic at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $465.00 |
| Hackensack University Medical Center | Hackensack | $184.26 | $30.55 – $487.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $173.33 | $28.00 – $627.00 |
| Jersey Shore University Medical Center | Neptune City | $173.18 | $29.45 – $443.00 |
| Palisades Medical Center | North Bergen | $184.26 | $27.58 – $994.00 |
| Raritan Bay Medical Center | Perth Amboy | $173.33 | $30.55 – $208.00 |
| Riverview Medical Center | Red Bank | $173.18 | $29.45 – $465.00 |
| Southern Ocean Medical Center | Manahawkin | $170.99 | $29.45 – $465.00 |