Lung perfusion imaging at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$439.15
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.
$1,760.00
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.
$249.92 with AETNA vs $1,584.00 with BRIGHTON HEALTH PLAN — 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 | $249.92 | ↓ -43% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $256.91 | ↓ -41% |
| CLOVER | MEDICARE ADVANTAGE | $316.80 | ↓ -28% |
| AMERIHEALTH | LOCAL HMO | $328.20 | ↓ -25% |
| AMERIHEALTH | REGIONAL HMO | $333.88 | ↓ -24% |
| HORIZON | MANAGED MEDICAID | $335.28 | ↓ -24% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $341.44 | ↓ -22% |
| KARNA | MEDICARE ADVANTAGE | $400.30 | ↓ -9% |
| AETNA | MEDICARE ADVANTAGE | $401.83 | ↓ -8% |
| VACCN | ALL PRODUCTS | $401.83 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $401.83 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $401.83 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $401.83 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $401.83 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $421.92 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $439.15 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $526.98 | ↑ +20% |
| AETNA | HMO | $593.33 | ↑ +35% |
| AETNA | PPO | $593.33 | ↑ +35% |
| CIGNA | HMO | $731.50 | ↑ +67% |
| CIGNA | PPO | $731.50 | ↑ +67% |
| UNITED HEALTHCARE | HMO | $1,021.05 | ↑ +133% |
| OXFORD | ALL PRODUCTS | $1,021.05 | ↑ +133% |
| HORIZON | OMNIA | $1,146.46 | ↑ +161% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,232.00 | ↑ +181% |
| INTERGROUP | SHARED SAVINGS | $1,232.00 | ↑ +181% |
| INTERGROUP | WORKERS COMP | $1,232.00 | ↑ +181% |
| HORIZON | WORKERS COMP | $1,261.57 | ↑ +187% |
| BERGEN RISK | ALL PRODUCTS | $1,320.00 | ↑ +201% |
| QUALCARE | WORKERS COMP | $1,360.48 | ↑ +210% |
| HORIZON | PIP | $1,360.48 | ↑ +210% |
| QUALCARE | HMO | $1,360.48 | ↑ +210% |
| QUALCARE | PPO | $1,360.48 | ↑ +210% |
| HORIZON | SHP | $1,372.27 | ↑ +212% |
| AETNA | ASA | $1,378.08 | ↑ +214% |
| PRIME HEALTH | AUTO INSURANCE | $1,408.00 | ↑ +221% |
| PRIME HEALTH | WORKERS COMP | $1,408.00 | ↑ +221% |
| HORIZON | HMO | $1,415.92 | ↑ +222% |
| HORIZON | INDEMNITY | $1,432.64 | ↑ +226% |
| HORIZON | PPO | $1,453.06 | ↑ +231% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,496.00 | ↑ +241% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,584.00 | ↑ +261% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lung perfusion imaging at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $332.04 | $113.25 – $951.00 |
| Cooperman Barnabas Medical Center | Livingston | $402.61 | $137.24 – $951.00 |
| Community Medical Center | Toms River | $366.89 | $137.24 – $951.00 |
| Clara Maass Medical Center | Belleville | $334.74 | $137.24 – $951.00 |
| Newark Beth Israel Medical Center | Newark | $395.77 | $116.58 – $951.00 |
| Jersey City Medical Center | Jersey City | $367.59 | $137.24 – $951.00 |
| Monmouth Medical Center | Long Branch | $387.05 | $137.24 – $951.00 |
| Bayshore Medical Center | Holmdel | $444.77 | $256.91 – $1,021.05 |