Manipulation chest wall initial demonstration/evaluation at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$140.87
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.
$403.00
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.
$42.97 with KARNA vs $392.20 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $42.97 | ↓ -69% |
| AETNA | MANAGED MEDICAID | $57.23 | ↓ -59% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $66.22 | ↓ -53% |
| CLOVER | MEDICARE ADVANTAGE | $72.54 | ↓ -49% |
| WELLCARE | MANAGED MEDICAID | $128.90 | ↓ -8% |
| VACCN | ALL PRODUCTS | $128.90 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $128.90 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $128.90 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $128.90 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $128.90 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $135.35 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $140.87 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $169.05 | ↑ +20% |
| INTERGROUP | WORKERS COMP | $215.60 | ↑ +53% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $215.60 | ↑ +53% |
| INTERGROUP | SHARED SAVINGS | $215.60 | ↑ +53% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $237.37 | ↑ +69% |
| HORIZON | MANAGED MEDICAID | $239.70 | ↑ +70% |
| PRIME HEALTH | AUTO INSURANCE | $246.40 | ↑ +75% |
| PRIME HEALTH | WORKERS COMP | $246.40 | ↑ +75% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $261.80 | ↑ +86% |
| HORIZON | OMNIA | $262.51 | ↑ +86% |
| AETNA | PPO | $276.18 | ↑ +96% |
| AETNA | ASA | $276.18 | ↑ +96% |
| AETNA | HMO | $276.18 | ↑ +96% |
| HORIZON | WORKERS COMP | $288.87 | ↑ +105% |
| CIGNA | PPO | $296.48 | ↑ +110% |
| CIGNA | HMO | $296.48 | ↑ +110% |
| BERGEN RISK | ALL PRODUCTS | $302.25 | ↑ +115% |
| HORIZON | PIP | $311.52 | ↑ +121% |
| QUALCARE | PPO | $313.13 | ↑ +122% |
| QUALCARE | HMO | $313.13 | ↑ +122% |
| HORIZON | SHP | $314.22 | ↑ +123% |
| OXFORD | ALL PRODUCTS | $317.00 | ↑ +125% |
| HORIZON | HMO | $324.21 | ↑ +130% |
| HORIZON | INDEMNITY | $328.04 | ↑ +133% |
| HORIZON | PPO | $332.72 | ↑ +136% |
| AMERIHEALTH | LOCAL HMO | $346.26 | ↑ +146% |
| QUALCARE | WORKERS COMP | $354.64 | ↑ +152% |
| UNITED HEALTHCARE | HMO | $359.00 | ↑ +155% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $362.70 | ↑ +157% |
| AMERIHEALTH | REGIONAL HMO | $392.20 | ↑ +178% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Manipulation chest wall initial demonstration/evaluation at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $60.06 | $140.87 – $313.48 |
| Cooperman Barnabas Medical Center | Livingston | $59.33 | $129.48 – $289.24 |
| Community Medical Center | Toms River | $66.36 | $132.60 – $280.33 |
| Clara Maass Medical Center | Belleville | $39.58 | $127.92 – $287.79 |
| Childrens Specialized Hospital | Mountainside | $90.50 | $394.00 – $394.00 |
| Newark Beth Israel Medical Center | Newark | $58.32 | $144.62 – $289.24 |
| Jersey City Medical Center | Jersey City | $66.49 | $140.40 – $302.08 |
| Monmouth Medical Center | Long Branch | $70.01 | $142.67 – $283.91 |