Hlth bhv ivntj indiv 1st 30 at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$175.59
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.
$464.00
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.
$65.89 with AETNA vs $451.56 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $65.89 | ↓ -62% |
| CLOVER | MEDICARE ADVANTAGE | $83.52 | ↓ -52% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $90.02 | ↓ -49% |
| KARNA | MEDICARE ADVANTAGE | $95.79 | ↓ -45% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $154.00 | ↓ -12% |
| VACCN | ALL PRODUCTS | $160.67 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $160.67 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $160.67 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $160.67 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $160.67 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $160.67 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $168.70 | ↓ -4% |
| UNITED HEALTHCARE | DSNP | $210.71 | ↑ +20% |
| HORIZON | SHP | $249.00 | ↑ +42% |
| HORIZON | OMNIA | $249.00 | ↑ +42% |
| QUALCARE | HMO | $256.13 | ↑ +46% |
| QUALCARE | PPO | $256.13 | ↑ +46% |
| HORIZON | INDEMNITY | $269.00 | ↑ +53% |
| HORIZON | HMO | $269.00 | ↑ +53% |
| HORIZON | PPO | $269.00 | ↑ +53% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $273.30 | ↑ +56% |
| HORIZON | MANAGED MEDICAID | $275.99 | ↑ +57% |
| HORIZON | PIP | $276.00 | ↑ +57% |
| HORIZON | WORKERS COMP | $276.00 | ↑ +57% |
| OXFORD | ALL PRODUCTS | $305.13 | ↑ +74% |
| UNITED HEALTHCARE | HMO | $319.79 | ↑ +82% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $324.80 | ↑ +85% |
| INTERGROUP | SHARED SAVINGS | $324.80 | ↑ +85% |
| INTERGROUP | WORKERS COMP | $324.80 | ↑ +85% |
| BERGEN RISK | ALL PRODUCTS | $348.00 | ↑ +98% |
| AETNA | ASA | $363.31 | ↑ +107% |
| PRIME HEALTH | AUTO INSURANCE | $371.20 | ↑ +111% |
| PRIME HEALTH | WORKERS COMP | $371.20 | ↑ +111% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $371.20 | ↑ +111% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $394.40 | ↑ +125% |
| AMERIHEALTH | LOCAL HMO | $398.67 | ↑ +127% |
| QUALCARE | WORKERS COMP | $408.32 | ↑ +133% |
| AETNA | PPO | $416.07 | ↑ +137% |
| AETNA | HMO | $416.07 | ↑ +137% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $417.60 | ↑ +138% |
| CIGNA | HMO | $443.72 | ↑ +153% |
| CIGNA | PPO | $443.72 | ↑ +153% |
| AMERIHEALTH | REGIONAL HMO | $451.56 | ↑ +157% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
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Hlth bhv ivntj indiv 1st 30 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $177.84 | $177.84 – $213.41 |
| Hackensack University Medical Center | Hackensack | $189.21 | $98.14 – $198.68 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $177.99 | $33.47 – $168.70 |
| Jersey Shore University Medical Center | Neptune City | $177.84 | $33.47 – $213.41 |
| Palisades Medical Center | North Bergen | $189.21 | $72.06 – $206.24 |
| Raritan Bay Medical Center | Perth Amboy | $177.99 | $91.45 – $213.59 |
| Riverview Medical Center | Red Bank | $177.84 | $95.79 – $213.41 |
| Southern Ocean Medical Center | Manahawkin | $175.59 | $33.47 – $210.71 |