Hla class ii high defin qual at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$325.80
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.
$717.00
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.
$101.81 with AETNA vs $1,492.93 with CIGNA — 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 | $101.81 | ↓ -69% |
| HORIZON | MANAGED MEDICAID | $136.59 | ↓ -58% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $249.08 | ↓ -24% |
| AETNA | MEDICARE ADVANTAGE | $325.80 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $325.80 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $325.80 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $325.80 | ↑ +0% |
| VACCN | ALL PRODUCTS | $325.80 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $325.80 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $325.80 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $325.80 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $325.80 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $342.09 | ↑ +5% |
| QUALCARE | HMO | $355.63 | ↑ +9% |
| OXFORD | ALL PRODUCTS | $387.90 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $390.96 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $424.35 | ↑ +30% |
| HORIZON | OMNIA | $467.05 | ↑ +43% |
| AETNA | PPO | $493.30 | ↑ +51% |
| AETNA | HMO | $493.30 | ↑ +51% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $501.90 | ↑ +54% |
| INTERGROUP | SHARED SAVINGS | $501.90 | ↑ +54% |
| INTERGROUP | WORKERS COMP | $501.90 | ↑ +54% |
| HORIZON | WORKERS COMP | $513.95 | ↑ +58% |
| BERGEN RISK | ALL PRODUCTS | $537.75 | ↑ +65% |
| QUALCARE | PPO | $554.24 | ↑ +70% |
| HORIZON | PIP | $554.24 | ↑ +70% |
| QUALCARE | WORKERS COMP | $554.24 | ↑ +70% |
| HORIZON | SHP | $559.04 | ↑ +72% |
| AETNA | ASA | $561.41 | ↑ +72% |
| PRIME HEALTH | WORKERS COMP | $573.60 | ↑ +76% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $573.60 | ↑ +76% |
| PRIME HEALTH | AUTO INSURANCE | $573.60 | ↑ +76% |
| HORIZON | HMO | $576.83 | ↑ +77% |
| HORIZON | INDEMNITY | $583.64 | ↑ +79% |
| HORIZON | PPO | $591.96 | ↑ +82% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $609.45 | ↑ +87% |
| AMERIHEALTH | LOCAL HMO | $616.05 | ↑ +89% |
| UNITED HEALTHCARE | HMO | $668.70 | ↑ +105% |
| AMERIHEALTH | REGIONAL HMO | $697.78 | ↑ +114% |
| CIGNA | HMO | $1,492.93 | ↑ +358% |
| CIGNA | PPO | $1,492.93 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Hla class ii high defin qual at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $325.80 | $249.08 – $1,492.93 |
| Hackensack University Medical Center | Hackensack | $325.80 | $157.13 – $1,463.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $325.80 | $286.70 – $1,533.29 |
| Jersey Shore University Medical Center | Neptune City | $325.80 | $249.08 – $1,492.93 |
| Palisades Medical Center | North Bergen | $325.80 | $173.33 – $1,492.93 |
| Raritan Bay Medical Center | Perth Amboy | $325.80 | $249.08 – $1,492.93 |
| Riverview Medical Center | Red Bank | $325.80 | $121.54 – $1,492.93 |
| Southern Ocean Medical Center | Manahawkin | $325.80 | $249.08 – $1,492.93 |