M.avium-intra dna amp prob at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$35.09
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.
$384.00
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.
$35.09 with CLOVER vs $373.71 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $35.09 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $35.09 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $35.09 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $35.09 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $35.09 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $35.09 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $35.09 | ↑ +0% |
| VACCN | ALL PRODUCTS | $35.09 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $35.09 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $36.84 | ↑ +5% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $41.80 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $42.11 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $45.70 | ↑ +30% |
| AETNA | MANAGED MEDICAID | $54.53 | ↑ +55% |
| UNITED HEALTHCARE | HMO | $72.02 | ↑ +105% |
| HORIZON | MANAGED MEDICAID | $73.15 | ↑ +108% |
| CIGNA | HMO | $160.79 | ↑ +358% |
| CIGNA | PPO | $160.79 | ↑ +358% |
| QUALCARE | HMO | $190.46 | ↑ +443% |
| OXFORD | ALL PRODUCTS | $207.74 | ↑ +492% |
| HORIZON | OMNIA | $250.14 | ↑ +613% |
| AETNA | HMO | $264.19 | ↑ +653% |
| AETNA | PPO | $264.19 | ↑ +653% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $268.80 | ↑ +666% |
| INTERGROUP | SHARED SAVINGS | $268.80 | ↑ +666% |
| INTERGROUP | WORKERS COMP | $268.80 | ↑ +666% |
| HORIZON | WORKERS COMP | $275.25 | ↑ +684% |
| BERGEN RISK | ALL PRODUCTS | $288.00 | ↑ +721% |
| QUALCARE | PPO | $296.83 | ↑ +746% |
| HORIZON | PIP | $296.83 | ↑ +746% |
| QUALCARE | WORKERS COMP | $296.83 | ↑ +746% |
| HORIZON | SHP | $299.40 | ↑ +753% |
| AETNA | ASA | $300.67 | ↑ +757% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $307.20 | ↑ +775% |
| PRIME HEALTH | WORKERS COMP | $307.20 | ↑ +775% |
| PRIME HEALTH | AUTO INSURANCE | $307.20 | ↑ +775% |
| HORIZON | HMO | $308.93 | ↑ +780% |
| HORIZON | INDEMNITY | $312.58 | ↑ +791% |
| HORIZON | PPO | $317.03 | ↑ +803% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $326.40 | ↑ +830% |
| AMERIHEALTH | LOCAL HMO | $329.93 | ↑ +840% |
| AMERIHEALTH | REGIONAL HMO | $373.71 | ↑ +965% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
M.avium-intra dna amp prob at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $38.60 | $16.49 – $147.60 |
| Cooperman Barnabas Medical Center | Livingston | $38.60 | $16.49 – $142.88 |
| Community Medical Center | Toms River | $38.60 | $16.49 – $142.88 |
| Clara Maass Medical Center | Belleville | $38.60 | $16.49 – $142.88 |
| Newark Beth Israel Medical Center | Newark | $38.60 | $16.49 – $142.88 |
| Jersey City Medical Center | Jersey City | $38.60 | $16.49 – $142.88 |
| Monmouth Medical Center | Long Branch | $38.60 | $16.49 – $142.88 |
| Bayshore Medical Center | Holmdel | $35.09 | $35.09 – $160.79 |