Interrog evl pm/ldls pm ip at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$40.75
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.
$332.00
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.
$37.29 with VACCN vs $271.98 with AMERIHEALTH — 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 |
|---|---|---|---|
| VACCN | ALL PRODUCTS | $37.29 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $37.29 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $37.29 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $37.29 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $37.29 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $39.15 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $40.75 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $47.14 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $48.90 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $49.50 | ↑ +21% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $59.13 | ↑ +45% |
| AMERIGROUP | MEDICARE ADVANTAGE | $59.95 | ↑ +47% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $93.34 | ↑ +129% |
| KARNA | MEDICARE ADVANTAGE | $94.86 | ↑ +133% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $137.50 | ↑ +237% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $165.00 | ↑ +305% |
| HORIZON | OMNIA | $167.48 | ↑ +311% |
| HORIZON | SHP | $167.48 | ↑ +311% |
| HORIZON | INDEMNITY | $167.48 | ↑ +311% |
| HORIZON | PPO | $167.48 | ↑ +311% |
| HORIZON | PIP | $167.48 | ↑ +311% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $178.75 | ↑ +339% |
| HORIZON | HMO | $181.00 | ↑ +344% |
| HORIZON | WORKERS COMP | $188.00 | ↑ +361% |
| INTERGROUP | SHARED SAVINGS | $192.50 | ↑ +372% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $192.50 | ↑ +372% |
| INTERGROUP | WORKERS COMP | $192.50 | ↑ +372% |
| HORIZON | MANAGED MEDICAID | $197.47 | ↑ +385% |
| BERGEN RISK | ALL PRODUCTS | $206.25 | ↑ +406% |
| OXFORD | ALL PRODUCTS | $214.74 | ↑ +427% |
| PRIME HEALTH | AUTO INSURANCE | $220.00 | ↑ +440% |
| PRIME HEALTH | WORKERS COMP | $220.00 | ↑ +440% |
| UNITED HEALTHCARE | HMO | $228.81 | ↑ +461% |
| AETNA | ASA | $233.31 | ↑ +473% |
| AETNA | PPO | $233.31 | ↑ +473% |
| AETNA | HMO | $233.31 | ↑ +473% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $233.75 | ↑ +474% |
| QUALCARE | WORKERS COMP | $254.65 | ↑ +525% |
| QUALCARE | HMO | $254.65 | ↑ +525% |
| QUALCARE | PPO | $254.65 | ↑ +525% |
| CIGNA | HMO | $264.72 | ↑ +550% |
| CIGNA | PPO | $264.72 | ↑ +550% |
| AMERIHEALTH | REGIONAL HMO | $271.98 | ↑ +567% |
| AMERIHEALTH | LOCAL HMO | $271.98 | ↑ +567% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Interrog evl pm/ldls pm ip at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $50.30 | $29.03 – $81.50 |
| Community Medical Center | Toms River | $55.58 | $36.58 – $81.09 |
| Newark Beth Israel Medical Center | Newark | $49.78 | $29.88 – $83.68 |
| Jersey City Medical Center | Jersey City | $55.69 | $37.57 – $87.38 |
| Bayshore Medical Center | Holmdel | $41.27 | $41.27 – $49.53 |
| Hackensack University Medical Center | Hackensack | $43.91 | $35.13 – $2,033.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $41.31 | $37.29 – $1,042.00 |
| Jersey Shore University Medical Center | Neptune City | $41.27 | $41.27 – $94.86 |