Hlth bhv ivntj grp 1st 30 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.
$169.00
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.
$15.31 with KARNA vs $164.47 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 | $15.31 | ↓ -53% |
| AETNA | MANAGED MEDICAID | $24.00 | ↓ -26% |
| WELLCARE | MANAGED MEDICAID | $29.79 | ↓ -9% |
| AETNA | MEDICARE ADVANTAGE | $29.79 | ↓ -9% |
| VACCN | ALL PRODUCTS | $29.79 | ↓ -9% |
| HORIZON | MEDICARE ADVANTAGE | $29.79 | ↓ -9% |
| AMERIGROUP | MEDICARE ADVANTAGE | $29.79 | ↓ -9% |
| WELLCARE | MEDICARE ADVANTAGE | $29.79 | ↓ -9% |
| CLOVER | MEDICARE ADVANTAGE | $30.42 | ↓ -7% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $31.28 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $32.56 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $32.79 | ↑ +1% |
| UNITED HEALTHCARE | DSNP | $39.07 | ↑ +20% |
| QUALCARE | PPO | $93.29 | ↑ +187% |
| QUALCARE | HMO | $93.29 | ↑ +187% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $99.54 | ↑ +206% |
| HORIZON | MANAGED MEDICAID | $100.52 | ↑ +209% |
| HORIZON | OMNIA | $110.09 | ↑ +238% |
| OXFORD | ALL PRODUCTS | $111.13 | ↑ +241% |
| UNITED HEALTHCARE | HMO | $116.47 | ↑ +258% |
| INTERGROUP | WORKERS COMP | $118.30 | ↑ +263% |
| INTERGROUP | SHARED SAVINGS | $118.30 | ↑ +263% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $118.30 | ↑ +263% |
| HORIZON | WORKERS COMP | $121.14 | ↑ +272% |
| BERGEN RISK | ALL PRODUCTS | $126.75 | ↑ +289% |
| HORIZON | PIP | $130.64 | ↑ +301% |
| HORIZON | SHP | $131.77 | ↑ +305% |
| AETNA | ASA | $132.33 | ↑ +306% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $135.20 | ↑ +315% |
| PRIME HEALTH | AUTO INSURANCE | $135.20 | ↑ +315% |
| PRIME HEALTH | WORKERS COMP | $135.20 | ↑ +315% |
| HORIZON | HMO | $135.96 | ↑ +318% |
| HORIZON | INDEMNITY | $137.57 | ↑ +323% |
| HORIZON | PPO | $139.53 | ↑ +329% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $143.65 | ↑ +341% |
| AMERIHEALTH | LOCAL HMO | $145.20 | ↑ +346% |
| QUALCARE | WORKERS COMP | $148.72 | ↑ +357% |
| AETNA | HMO | $151.54 | ↑ +365% |
| AETNA | PPO | $151.54 | ↑ +365% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $152.10 | ↑ +367% |
| CIGNA | HMO | $161.61 | ↑ +396% |
| CIGNA | PPO | $161.61 | ↑ +396% |
| AMERIHEALTH | REGIONAL HMO | $164.47 | ↑ +405% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
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Hlth bhv ivntj grp 1st 30 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $32.97 | $32.97 – $39.57 |
| Hackensack University Medical Center | Hackensack | $35.08 | $15.71 – $365.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $33.00 | $4.90 – $33.00 |
| Jersey Shore University Medical Center | Neptune City | $32.97 | $4.90 – $39.57 |
| Palisades Medical Center | North Bergen | $35.08 | $10.68 – $38.24 |
| Raritan Bay Medical Center | Perth Amboy | $33.00 | $13.55 – $39.60 |
| Riverview Medical Center | Red Bank | $32.97 | $15.31 – $39.57 |
| Southern Ocean Medical Center | Manahawkin | $32.56 | $4.90 – $39.07 |