Grp adapt bhv tx by tech at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$32.56
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.
$73.00
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.
$10.37 with AETNA vs $566.00 with UNITED HEALTHCARE — 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 | $10.37 | ↓ -68% |
| CLOVER | MEDICARE ADVANTAGE | $13.14 | ↓ -60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $14.16 | ↓ -57% |
| KARNA | MEDICARE ADVANTAGE | $14.96 | ↓ -54% |
| AETNA | MEDICARE ADVANTAGE | $29.79 | ↓ -9% |
| WELLCARE | MEDICARE ADVANTAGE | $29.79 | ↓ -9% |
| WELLCARE | MANAGED MEDICAID | $29.79 | ↓ -9% |
| HORIZON | MEDICARE ADVANTAGE | $29.79 | ↓ -9% |
| VACCN | ALL PRODUCTS | $29.79 | ↓ -9% |
| AMERIGROUP | MEDICARE ADVANTAGE | $29.79 | ↓ -9% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $31.28 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $32.56 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $39.07 | ↑ +20% |
| QUALCARE | PPO | $40.30 | ↑ +24% |
| QUALCARE | HMO | $40.30 | ↑ +24% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $43.00 | ↑ +32% |
| HORIZON | MANAGED MEDICAID | $43.42 | ↑ +33% |
| HORIZON | OMNIA | $47.55 | ↑ +46% |
| INTERGROUP | SHARED SAVINGS | $51.10 | ↑ +57% |
| INTERGROUP | WORKERS COMP | $51.10 | ↑ +57% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $51.10 | ↑ +57% |
| HORIZON | WORKERS COMP | $52.33 | ↑ +61% |
| AETNA | HMO | $53.09 | ↑ +63% |
| AETNA | PPO | $53.09 | ↑ +63% |
| BERGEN RISK | ALL PRODUCTS | $54.75 | ↑ +68% |
| HORIZON | PIP | $56.43 | ↑ +73% |
| HORIZON | SHP | $56.92 | ↑ +75% |
| AETNA | ASA | $57.16 | ↑ +76% |
| PRIME HEALTH | AUTO INSURANCE | $58.40 | ↑ +79% |
| PRIME HEALTH | WORKERS COMP | $58.40 | ↑ +79% |
| HORIZON | HMO | $58.73 | ↑ +80% |
| HORIZON | INDEMNITY | $59.42 | ↑ +82% |
| HORIZON | PPO | $60.27 | ↑ +85% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $62.05 | ↑ +91% |
| AMERIHEALTH | LOCAL HMO | $62.72 | ↑ +93% |
| QUALCARE | WORKERS COMP | $64.24 | ↑ +97% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $65.70 | ↑ +102% |
| CIGNA | HMO | $69.81 | ↑ +114% |
| CIGNA | PPO | $69.81 | ↑ +114% |
| AMERIHEALTH | REGIONAL HMO | $71.04 | ↑ +118% |
| OXFORD | ALL PRODUCTS | $393.00 | ↑ +1107% |
| UNITED HEALTHCARE | HMO | $566.00 | ↑ +1638% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Grp adapt bhv tx by tech at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $87.50 | $13.13 – $13.13 |
| Bayshore Medical Center | Holmdel | $32.97 | $32.97 – $393.00 |
| Hackensack University Medical Center | Hackensack | $35.08 | $15.28 – $1,673.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $33.00 | $4.80 – $759.00 |
| Jersey Shore University Medical Center | Neptune City | $32.97 | $4.80 – $426.00 |
| Palisades Medical Center | North Bergen | $35.08 | $15.28 – $1,353.00 |
| Raritan Bay Medical Center | Perth Amboy | $33.00 | $15.28 – $389.00 |
| Riverview Medical Center | Red Bank | $32.97 | $14.96 – $399.00 |