Mr safety determination physician/other qhp at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$96.23
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.
$259.00
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.
$36.78 with AETNA vs $4,332.00 with BERGEN RISK — 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 | $36.78 | ↓ -62% |
| CLOVER | MEDICARE ADVANTAGE | $46.62 | ↓ -52% |
| HORIZON | MANAGED MEDICAID | $49.34 | ↓ -49% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $50.25 | ↓ -48% |
| AMERIHEALTH | LOCAL HMO | $61.21 | ↓ -36% |
| AMERIHEALTH | REGIONAL HMO | $62.27 | ↓ -35% |
| HORIZON | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| WELLCARE | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| AETNA | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| WELLCARE | MANAGED MEDICAID | $88.05 | ↓ -9% |
| AMERIGROUP | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| VACCN | ALL PRODUCTS | $88.05 | ↓ -9% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $92.45 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $96.23 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $115.47 | ↑ +20% |
| HORIZON | OMNIA | $168.71 | ↑ +75% |
| OXFORD | ALL PRODUCTS | $170.32 | ↑ +77% |
| UNITED HEALTHCARE | HMO | $178.50 | ↑ +85% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $178.71 | ↑ +86% |
| INTERGROUP | SHARED SAVINGS | $181.30 | ↑ +88% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $181.30 | ↑ +88% |
| INTERGROUP | WORKERS COMP | $181.30 | ↑ +88% |
| HORIZON | WORKERS COMP | $185.65 | ↑ +93% |
| AETNA | PPO | $190.89 | ↑ +98% |
| AETNA | HMO | $190.89 | ↑ +98% |
| HORIZON | PIP | $200.21 | ↑ +108% |
| QUALCARE | WORKERS COMP | $200.21 | ↑ +108% |
| QUALCARE | PPO | $200.21 | ↑ +108% |
| QUALCARE | HMO | $200.21 | ↑ +108% |
| HORIZON | SHP | $201.94 | ↑ +110% |
| AETNA | ASA | $202.80 | ↑ +111% |
| PRIME HEALTH | WORKERS COMP | $207.20 | ↑ +115% |
| PRIME HEALTH | AUTO INSURANCE | $207.20 | ↑ +115% |
| HORIZON | HMO | $208.37 | ↑ +117% |
| HORIZON | INDEMNITY | $210.83 | ↑ +119% |
| HORIZON | PPO | $213.83 | ↑ +122% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $220.15 | ↑ +129% |
| CIGNA | HMO | $247.68 | ↑ +157% |
| CIGNA | PPO | $247.68 | ↑ +157% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $951.00 | ↑ +888% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +4402% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Mr safety determination physician/other qhp at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $39.60 | $58.07 – $192.46 |
| Cooperman Barnabas Medical Center | Livingston | $44.71 | $43.04 – $197.58 |
| Community Medical Center | Toms River | $43.76 | $43.04 – $191.50 |
| Clara Maass Medical Center | Belleville | $41.96 | $43.12 – $196.59 |
| Newark Beth Israel Medical Center | Newark | $43.95 | $43.04 – $197.58 |
| Jersey City Medical Center | Jersey City | $43.84 | $43.04 – $206.34 |
| Monmouth Medical Center | Long Branch | $46.16 | $43.04 – $193.95 |
| Bayshore Medical Center | Holmdel | $97.46 | $61.21 – $4,332.00 |