Insertion of new/replacement ppm w/transvenous electrode(s) ventricular at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$11,437.35
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.
$19,907.00
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.
$104.00 with HORIZON BCBS BRAVEN vs $64,060.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | ↓ -99% |
| HORIZON | HMO | $181.00 | ↓ -98% |
| HORIZON | WORKERS COMP | $188.00 | ↓ -98% |
| KARNA | MEDICARE ADVANTAGE | $968.44 | ↓ -92% |
| AETNA | MANAGED MEDICAID | $2,826.79 | ↓ -75% |
| CLOVER | MEDICARE ADVANTAGE | $3,583.26 | ↓ -69% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,861.96 | ↓ -66% |
| AMERIGROUP | MEDICARE ADVANTAGE | $4,339.73 | ↓ -62% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $6,756.44 | ↓ -41% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $9,953.50 | ↓ -13% |
| HORIZON | MEDICARE ADVANTAGE | $10,465.33 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $10,465.33 | ↓ -8% |
| VACCN | ALL PRODUCTS | $10,465.33 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $10,465.33 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $10,465.33 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $10,988.60 | ↓ -4% |
| HORIZON | MANAGED MEDICAID | $11,840.68 | ↑ +4% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,944.20 | ↑ +4% |
| HORIZON | SHP | $12,123.36 | ↑ +6% |
| HORIZON | INDEMNITY | $12,123.36 | ↑ +6% |
| HORIZON | PPO | $12,123.36 | ↑ +6% |
| HORIZON | OMNIA | $12,123.36 | ↑ +6% |
| HORIZON | PIP | $12,123.36 | ↑ +6% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $12,939.55 | ↑ +13% |
| UNITED HEALTHCARE | DSNP | $13,724.82 | ↑ +20% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $13,934.90 | ↑ +22% |
| INTERGROUP | SHARED SAVINGS | $13,934.90 | ↑ +22% |
| INTERGROUP | WORKERS COMP | $13,934.90 | ↑ +22% |
| BERGEN RISK | ALL PRODUCTS | $14,930.25 | ↑ +31% |
| QUALCARE | HMO | $15,467.74 | ↑ +35% |
| QUALCARE | PPO | $15,467.74 | ↑ +35% |
| AETNA | ASA | $15,587.18 | ↑ +36% |
| PRIME HEALTH | WORKERS COMP | $15,925.60 | ↑ +39% |
| PRIME HEALTH | AUTO INSURANCE | $15,925.60 | ↑ +39% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $16,920.95 | ↑ +48% |
| AMERIHEALTH | LOCAL HMO | $17,104.09 | ↑ +50% |
| QUALCARE | WORKERS COMP | $17,518.16 | ↑ +53% |
| AETNA | PPO | $17,850.61 | ↑ +56% |
| AETNA | HMO | $17,850.61 | ↑ +56% |
| CIGNA | PPO | $19,037.06 | ↑ +66% |
| CIGNA | HMO | $19,037.06 | ↑ +66% |
| AMERIHEALTH | REGIONAL HMO | $19,373.49 | ↑ +69% |
| OXFORD | ALL PRODUCTS | $62,120.00 | ↑ +443% |
| UNITED HEALTHCARE | HMO | $64,060.00 | ↑ +460% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $680.60 – $23,482.52 |
| Community Medical Center | Toms River | $3,786.00 | $697.00 – $22,760.33 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $672.40 – $23,365.11 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $245.28 – $23,482.52 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $308.35 – $24,525.95 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,344.80 – $23,051.48 |
| Bayshore Medical Center | Holmdel | $11,583.66 | $11,583.66 – $13,900.39 |
| Hackensack University Medical Center | Hackensack | $12,324.60 | $994.52 – $12,940.83 |