healthcosts.net
Knee Arthroscopy (Cartilage Repair) at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$3,545.97
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.
$7,566.00
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.
$1,074.37 with AETNA vs $15,984.00 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $1,074.37 | ↓ -70% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -66% |
| KARNA | MEDICARE ADVANTAGE | $1,308.96 | ↓ -63% |
| CLOVER | MEDICARE ADVANTAGE | $1,361.88 | ↓ -62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,467.80 | ↓ -59% |
| HORIZON | MANAGED MEDICAID | $1,967.00 | ↓ -45% |
| AMERIGROUP | MEDICARE ADVANTAGE | $3,244.61 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $3,244.61 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $3,244.61 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $3,244.61 | ↓ -8% |
| VACCN | ALL PRODUCTS | $3,244.61 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $3,244.61 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,406.84 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,545.97 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $4,255.16 | ↑ +20% |
| CIGNA | HMO | $4,414.00 | ↑ +24% |
| HORIZON | OMNIA | $4,928.49 | ↑ +39% |
| CIGNA | PPO | $4,945.00 | ↑ +39% |
| INTERGROUP | SHARED SAVINGS | $5,296.20 | ↑ +49% |
| INTERGROUP | WORKERS COMP | $5,296.20 | ↑ +49% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $5,296.20 | ↑ +49% |
| BERGEN RISK | ALL PRODUCTS | $5,674.50 | ↑ +60% |
| HORIZON | PIP | $5,848.52 | ↑ +65% |
| QUALCARE | PPO | $5,878.78 | ↑ +66% |
| HORIZON | SHP | $5,899.21 | ↑ +66% |
| AETNA | ASA | $5,924.18 | ↑ +67% |
| PRIME HEALTH | WORKERS COMP | $6,052.80 | ↑ +71% |
| PRIME HEALTH | AUTO INSURANCE | $6,052.80 | ↑ +71% |
| HORIZON | HMO | $6,086.85 | ↑ +72% |
| HORIZON | INDEMNITY | $6,158.72 | ↑ +74% |
| HORIZON | PPO | $6,246.49 | ↑ +76% |
| QUALCARE | HMO | $6,256.00 | ↑ +76% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,431.10 | ↑ +81% |
| AMERIHEALTH | LOCAL HMO | $6,500.71 | ↑ +83% |
| QUALCARE | WORKERS COMP | $6,658.08 | ↑ +88% |
| AMERIHEALTH | REGIONAL HMO | $7,363.23 | ↑ +108% |
| AETNA | PPO | $8,419.00 | ↑ +137% |
| AETNA | HMO | $8,419.00 | ↑ +137% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +201% |
| OXFORD | ALL PRODUCTS | $11,153.00 | ↑ +215% |
| UNITED HEALTHCARE | HMO | $14,134.00 | ↑ +299% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,984.00 | ↑ +351% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Knee Arthroscopy (Cartilage Repair) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,591.33 | $1,240.82 – $15,984.00 |
| Hackensack University Medical Center | Hackensack | $3,821.05 | $1,354.78 – $6,809.40 |