Incision of rectal abscess at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$2,997.10
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.
?
What you pay up front if you don't use insurance.
$8,306.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,020.66 with KARNA vs $10,671.00 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1,020.66 | ↓ -66% |
| HORIZON | MANAGED MEDICAID | $1,115.00 | ↓ -63% |
| AETNA | MANAGED MEDICAID | $1,179.45 | ↓ -61% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,299.03 | ↓ -57% |
| CLOVER | MEDICARE ADVANTAGE | $1,495.08 | ↓ -50% |
| WELLCARE | MANAGED MEDICAID | $2,742.39 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $2,742.39 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $2,742.39 | ↓ -8% |
| VACCN | ALL PRODUCTS | $2,742.39 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $2,742.39 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $2,742.39 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,879.51 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,997.10 | ↑ +0% |
| CIGNA | HMO | $3,137.00 | ↑ +5% |
| CIGNA | PPO | $3,511.00 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $3,596.52 | ↑ +20% |
| INTERGROUP | SHARED SAVINGS | $4,229.40 | ↑ +41% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,229.40 | ↑ +41% |
| INTERGROUP | WORKERS COMP | $4,229.40 | ↑ +41% |
| BERGEN RISK | ALL PRODUCTS | $4,531.50 | ↑ +51% |
| PRIME HEALTH | AUTO INSURANCE | $4,833.60 | ↑ +61% |
| PRIME HEALTH | WORKERS COMP | $4,833.60 | ↑ +61% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,135.70 | ↑ +71% |
| HORIZON | OMNIA | $5,410.53 | ↑ +81% |
| OXFORD | ALL PRODUCTS | $6,137.00 | ↑ +105% |
| QUALCARE | HMO | $6,256.00 | ↑ +109% |
| HORIZON | PIP | $6,420.54 | ↑ +114% |
| QUALCARE | PPO | $6,453.76 | ↑ +115% |
| HORIZON | SHP | $6,476.19 | ↑ +116% |
| AETNA | ASA | $6,503.60 | ↑ +117% |
| HORIZON | HMO | $6,682.18 | ↑ +123% |
| HORIZON | INDEMNITY | $6,761.08 | ↑ +126% |
| HORIZON | PPO | $6,857.43 | ↑ +129% |
| AMERIHEALTH | LOCAL HMO | $7,136.52 | ↑ +138% |
| QUALCARE | WORKERS COMP | $7,309.28 | ↑ +144% |
| UNITED HEALTHCARE | HMO | $7,714.00 | ↑ +157% |
| AMERIHEALTH | REGIONAL HMO | $8,083.40 | ↑ +170% |
| AETNA | PPO | $8,419.00 | ↑ +181% |
| AETNA | HMO | $8,419.00 | ↑ +181% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +231% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +256% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Incision of rectal abscess at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,035.44 | $3,035.44 – $3,642.53 |
| Hackensack University Medical Center | Hackensack | $3,229.60 | $1,057.33 – $3,391.08 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,038.07 | $315.90 – $3,038.07 |
| Jersey Shore University Medical Center | Neptune City | $3,035.44 | $1,020.66 – $3,642.53 |
| Palisades Medical Center | North Bergen | $3,229.60 | $1,057.33 – $3,520.27 |
| Raritan Bay Medical Center | Perth Amboy | $3,038.07 | $1,057.33 – $3,645.69 |
| Riverview Medical Center | Red Bank | $3,035.44 | $1,020.66 – $3,642.53 |
| Southern Ocean Medical Center | Manahawkin | $2,997.10 | $1,020.66 – $3,596.52 |