Hpa-1 genotyping at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$122.22
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.
$486.00
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.
$39.05 with AETNA vs $560.05 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 | $39.05 | ↓ -68% |
| HORIZON | MANAGED MEDICAID | $52.39 | ↓ -57% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $107.56 | ↓ -12% |
| AETNA | MEDICARE ADVANTAGE | $122.22 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $122.22 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $122.22 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $122.22 | ↑ +0% |
| VACCN | ALL PRODUCTS | $122.22 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $122.22 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $122.22 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $122.22 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $122.22 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $128.33 | ↑ +5% |
| QUALCARE | HMO | $136.40 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $146.66 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $148.78 | ↑ +22% |
| KARNA | MEDICARE ADVANTAGE | $159.19 | ↑ +30% |
| HORIZON | OMNIA | $179.14 | ↑ +47% |
| AETNA | PPO | $189.20 | ↑ +55% |
| AETNA | HMO | $189.20 | ↑ +55% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $192.50 | ↑ +58% |
| INTERGROUP | SHARED SAVINGS | $192.50 | ↑ +58% |
| INTERGROUP | WORKERS COMP | $192.50 | ↑ +58% |
| HORIZON | WORKERS COMP | $197.12 | ↑ +61% |
| BERGEN RISK | ALL PRODUCTS | $206.25 | ↑ +69% |
| QUALCARE | PPO | $212.58 | ↑ +74% |
| HORIZON | PIP | $212.58 | ↑ +74% |
| QUALCARE | WORKERS COMP | $212.58 | ↑ +74% |
| HORIZON | SHP | $214.42 | ↑ +75% |
| AETNA | ASA | $215.33 | ↑ +76% |
| PRIME HEALTH | WORKERS COMP | $220.00 | ↑ +80% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $220.00 | ↑ +80% |
| PRIME HEALTH | AUTO INSURANCE | $220.00 | ↑ +80% |
| HORIZON | HMO | $221.24 | ↑ +81% |
| HORIZON | INDEMNITY | $223.85 | ↑ +83% |
| HORIZON | PPO | $227.04 | ↑ +86% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $233.75 | ↑ +91% |
| AMERIHEALTH | LOCAL HMO | $236.28 | ↑ +93% |
| UNITED HEALTHCARE | HMO | $250.86 | ↑ +105% |
| AMERIHEALTH | REGIONAL HMO | $267.63 | ↑ +119% |
| CIGNA | HMO | $560.05 | ↑ +358% |
| CIGNA | PPO | $560.05 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Hpa-1 genotyping at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $122.22 | $122.22 – $560.05 |
| Hackensack University Medical Center | Hackensack | $122.22 | $89.74 – $548.83 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $122.22 | $107.56 – $575.20 |
| Jersey Shore University Medical Center | Neptune City | $122.22 | $97.78 – $560.05 |
| Palisades Medical Center | North Bergen | $122.22 | $98.99 – $560.05 |
| Raritan Bay Medical Center | Perth Amboy | $122.22 | $122.22 – $560.05 |
| Riverview Medical Center | Red Bank | $122.22 | $69.41 – $560.05 |
| Southern Ocean Medical Center | Manahawkin | $122.22 | $122.22 – $560.05 |