In-111 autol wbc diag per dose at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$1,031.39
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.
$5,941.49
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.
$0.01 with AETNA vs $7,232.46 with KARNA — 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 | ASA | $0.01 | ↓ -100% |
| AETNA | HMO | $0.01 | ↓ -100% |
| AETNA | PPO | $0.01 | ↓ -100% |
| AETNA | MANAGED MEDICAID | $381.27 | ↓ -63% |
| CLOVER | MEDICARE ADVANTAGE | $483.30 | ↓ -53% |
| HORIZON | MANAGED MEDICAID | $511.49 | ↓ -50% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $520.89 | ↓ -49% |
| CIGNA | HMO | $845.78 | ↓ -18% |
| CIGNA | PPO | $845.78 | ↓ -18% |
| WELLCARE | MANAGED MEDICAID | $1,031.39 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,031.39 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,031.39 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,031.39 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,031.39 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $1,031.39 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $1,031.39 | ↑ +0% |
| AMERIHEALTH | LOCAL HMO | $1,080.18 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,082.96 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $1,237.67 | ↑ +20% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $1,350.56 | ↑ +31% |
| OXFORD | ALL PRODUCTS | $1,452.59 | ↑ +41% |
| UNITED HEALTHCARE | HMO | $1,452.59 | ↑ +41% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $1,500.92 | ↑ +46% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,581.47 | ↑ +53% |
| HORIZON | OMNIA | $1,749.01 | ↑ +70% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,879.50 | ↑ +82% |
| INTERGROUP | SHARED SAVINGS | $1,879.50 | ↑ +82% |
| INTERGROUP | WORKERS COMP | $1,879.50 | ↑ +82% |
| AMERIHEALTH | REGIONAL HMO | $1,890.58 | ↑ +83% |
| HORIZON | WORKERS COMP | $1,924.61 | ↑ +87% |
| BERGEN RISK | ALL PRODUCTS | $2,013.75 | ↑ +95% |
| HORIZON | PIP | $2,075.51 | ↑ +101% |
| QUALCARE | PPO | $2,086.25 | ↑ +102% |
| QUALCARE | HMO | $2,086.25 | ↑ +102% |
| HORIZON | SHP | $2,093.49 | ↑ +103% |
| PRIME HEALTH | WORKERS COMP | $2,148.00 | ↑ +108% |
| PRIME HEALTH | AUTO INSURANCE | $2,148.00 | ↑ +108% |
| HORIZON | HMO | $2,160.08 | ↑ +109% |
| HORIZON | INDEMNITY | $2,185.59 | ↑ +112% |
| HORIZON | PPO | $2,216.74 | ↑ +115% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,282.25 | ↑ +121% |
| QUALCARE | WORKERS COMP | $2,362.80 | ↑ +129% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,416.50 | ↑ +134% |
| AMERIGROUP | MANAGED MEDICAID | $2,970.75 | ↑ +188% |
| KARNA | MEDICARE ADVANTAGE | $7,232.46 | ↑ +601% |
Visitor-reported prices
Comments
In-111 autol wbc diag per dose at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,031.39 | $1,031.39 – $1,237.67 |
| Hackensack University Medical Center | Hackensack | $1,031.39 | $825.11 – $7,385.16 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,031.39 | $0.01 – $7,385.16 |
| Jersey Shore University Medical Center | Neptune City | $1,031.39 | $1,031.39 – $7,232.46 |
| Palisades Medical Center | North Bergen | $1,031.39 | $1,031.39 – $7,385.16 |
| Raritan Bay Medical Center | Perth Amboy | $1,031.39 | $1,031.39 – $7,385.16 |
| Riverview Medical Center | Red Bank | $1,031.39 | $1,031.39 – $7,232.46 |
| Southern Ocean Medical Center | Manahawkin | $1,031.39 | $1,031.39 – $7,232.46 |