Knee arthroscopy/surgery at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$1,749.06
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.
$9,093.00
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.
$1,291.21 with AETNA vs $19,834.00 with UNITED HEALTHCARE — 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 | $1,291.21 | ↓ -26% |
| WELLCARE | MEDICARE ADVANTAGE | $1,600.41 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $1,600.41 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $1,600.41 | ↓ -8% |
| VACCN | ALL PRODUCTS | $1,600.41 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $1,600.41 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,600.41 | ↓ -8% |
| CLOVER | MEDICARE ADVANTAGE | $1,636.74 | ↓ -6% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,680.43 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,749.06 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,764.04 | ↑ +1% |
| KARNA | MEDICARE ADVANTAGE | $1,945.62 | ↑ +11% |
| HORIZON | MANAGED MEDICAID | $1,967.00 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $2,098.87 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↑ +36% |
| CIGNA | HMO | $4,414.00 | ↑ +152% |
| CIGNA | PPO | $4,945.00 | ↑ +183% |
| HORIZON | OMNIA | $5,923.18 | ↑ +239% |
| QUALCARE | HMO | $6,256.00 | ↑ +258% |
| INTERGROUP | SHARED SAVINGS | $6,365.10 | ↑ +264% |
| INTERGROUP | WORKERS COMP | $6,365.10 | ↑ +264% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $6,365.10 | ↑ +264% |
| BERGEN RISK | ALL PRODUCTS | $6,819.75 | ↑ +290% |
| HORIZON | PIP | $7,028.89 | ↑ +302% |
| QUALCARE | PPO | $7,065.26 | ↑ +304% |
| HORIZON | SHP | $7,089.81 | ↑ +305% |
| AETNA | ASA | $7,119.82 | ↑ +307% |
| PRIME HEALTH | AUTO INSURANCE | $7,274.40 | ↑ +316% |
| PRIME HEALTH | WORKERS COMP | $7,274.40 | ↑ +316% |
| HORIZON | HMO | $7,315.32 | ↑ +318% |
| HORIZON | INDEMNITY | $7,401.70 | ↑ +323% |
| HORIZON | PPO | $7,507.18 | ↑ +329% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,729.05 | ↑ +342% |
| AMERIHEALTH | LOCAL HMO | $7,812.71 | ↑ +347% |
| QUALCARE | WORKERS COMP | $8,001.84 | ↑ +357% |
| AETNA | HMO | $8,419.00 | ↑ +381% |
| AETNA | PPO | $8,419.00 | ↑ +381% |
| AMERIHEALTH | REGIONAL HMO | $8,849.31 | ↑ +406% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +510% |
| OXFORD | ALL PRODUCTS | $15,604.00 | ↑ +792% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,984.00 | ↑ +814% |
| UNITED HEALTHCARE | HMO | $19,834.00 | ↑ +1034% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Knee arthroscopy/surgery at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $478.69 – $3,498.12 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $705.93 – $3,591.06 |
| Community Medical Center | Toms River | $3,786.00 | $722.94 – $3,480.63 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $697.43 – $3,573.10 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $492.77 – $3,591.06 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $619.48 – $3,750.63 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,394.85 – $3,525.15 |
| Bayshore Medical Center | Holmdel | $1,771.43 | $1,771.43 – $15,984.00 |