Lipoprotein direct measurement ldl at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$10.50
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.
$83.00
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.
$3.55 with AETNA vs $48.11 with CIGNA — 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 | $3.55 | ↓ -66% |
| HORIZON | MANAGED MEDICAID | $4.76 | ↓ -55% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $9.22 | ↓ -12% |
| AETNA | MEDICARE ADVANTAGE | $10.50 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $10.50 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $10.50 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $10.50 | ↑ +0% |
| VACCN | ALL PRODUCTS | $10.50 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $10.50 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $10.50 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $10.50 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $10.50 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $11.03 | ↑ +5% |
| QUALCARE | HMO | $12.40 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $12.60 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $13.53 | ↑ +29% |
| KARNA | MEDICARE ADVANTAGE | $13.68 | ↑ +30% |
| HORIZON | OMNIA | $16.29 | ↑ +55% |
| AETNA | PPO | $17.20 | ↑ +64% |
| AETNA | HMO | $17.20 | ↑ +64% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $17.50 | ↑ +67% |
| INTERGROUP | SHARED SAVINGS | $17.50 | ↑ +67% |
| INTERGROUP | WORKERS COMP | $17.50 | ↑ +67% |
| HORIZON | WORKERS COMP | $17.92 | ↑ +71% |
| BERGEN RISK | ALL PRODUCTS | $18.75 | ↑ +79% |
| QUALCARE | PPO | $19.33 | ↑ +84% |
| HORIZON | PIP | $19.33 | ↑ +84% |
| QUALCARE | WORKERS COMP | $19.33 | ↑ +84% |
| HORIZON | SHP | $19.49 | ↑ +86% |
| AETNA | ASA | $19.58 | ↑ +86% |
| PRIME HEALTH | WORKERS COMP | $20.00 | ↑ +90% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $20.00 | ↑ +90% |
| PRIME HEALTH | AUTO INSURANCE | $20.00 | ↑ +90% |
| HORIZON | HMO | $20.11 | ↑ +92% |
| HORIZON | INDEMNITY | $20.35 | ↑ +94% |
| HORIZON | PPO | $20.64 | ↑ +97% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $21.25 | ↑ +102% |
| AMERIHEALTH | LOCAL HMO | $21.48 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $21.55 | ↑ +105% |
| AMERIHEALTH | REGIONAL HMO | $24.33 | ↑ +132% |
| CIGNA | HMO | $48.11 | ↑ +358% |
| CIGNA | PPO | $48.11 | ↑ +358% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Lipoprotein direct measurement ldl at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $11.55 | $4.94 – $42.74 |
| Cooperman Barnabas Medical Center | Livingston | $11.55 | $4.94 – $42.74 |
| Community Medical Center | Toms River | $11.55 | $4.94 – $42.74 |
| Clara Maass Medical Center | Belleville | $11.55 | $4.94 – $42.74 |
| Newark Beth Israel Medical Center | Newark | $11.55 | $4.94 – $42.74 |
| Jersey City Medical Center | Jersey City | $11.55 | $4.94 – $42.74 |
| Monmouth Medical Center | Long Branch | $11.55 | $4.94 – $42.74 |
| Bayshore Medical Center | Holmdel | $10.50 | $10.50 – $48.11 |