Instll rx agnt into rnal tub at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$265.80
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.
$646.00
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.
$91.73 with AETNA vs $10,671.00 with HORIZON — 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 | $91.73 | ↓ -65% |
| CLOVER | MEDICARE ADVANTAGE | $116.28 | ↓ -56% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $125.32 | ↓ -53% |
| KARNA | MEDICARE ADVANTAGE | $198.16 | ↓ -25% |
| AETNA | MEDICARE ADVANTAGE | $243.21 | ↓ -8% |
| VACCN | ALL PRODUCTS | $243.21 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $243.21 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $243.21 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $243.21 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $243.21 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $255.37 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $265.80 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $318.96 | ↑ +20% |
| HORIZON | OMNIA | $420.80 | ↑ +58% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $452.20 | ↑ +70% |
| INTERGROUP | WORKERS COMP | $452.20 | ↑ +70% |
| INTERGROUP | SHARED SAVINGS | $452.20 | ↑ +70% |
| BERGEN RISK | ALL PRODUCTS | $484.50 | ↑ +82% |
| HORIZON | PIP | $499.36 | ↑ +88% |
| QUALCARE | PPO | $501.94 | ↑ +89% |
| HORIZON | SHP | $503.69 | ↑ +89% |
| AETNA | ASA | $505.82 | ↑ +90% |
| PRIME HEALTH | AUTO INSURANCE | $516.80 | ↑ +94% |
| PRIME HEALTH | WORKERS COMP | $516.80 | ↑ +94% |
| HORIZON | HMO | $519.71 | ↑ +96% |
| HORIZON | INDEMNITY | $525.84 | ↑ +98% |
| HORIZON | PPO | $533.34 | ↑ +101% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $549.10 | ↑ +107% |
| AMERIHEALTH | LOCAL HMO | $555.04 | ↑ +109% |
| QUALCARE | WORKERS COMP | $568.48 | ↑ +114% |
| CIGNA | PPO | $584.57 | ↑ +120% |
| CIGNA | HMO | $584.57 | ↑ +120% |
| AMERIHEALTH | REGIONAL HMO | $628.69 | ↑ +137% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +347% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↑ +493% |
| OXFORD | ALL PRODUCTS | $2,810.00 | ↑ +957% |
| UNITED HEALTHCARE | HMO | $3,454.00 | ↑ +1199% |
| QUALCARE | HMO | $6,256.00 | ↑ +2254% |
| AETNA | HMO | $8,419.00 | ↑ +3067% |
| AETNA | PPO | $8,419.00 | ↑ +3067% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +3637% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +3915% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Instll rx agnt into rnal tub at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $63.67 – $531.60 |
| Community Medical Center | Toms River | $3,786.00 | $106.19 – $528.94 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $106.19 – $542.99 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $65.54 – $545.72 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $82.39 – $569.98 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $106.19 – $535.71 |
| Bayshore Medical Center | Holmdel | $269.20 | $269.20 – $323.04 |
| Hackensack University Medical Center | Hackensack | $286.42 | $203.34 – $300.74 |