MRI breast c- unilateral at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$264.17
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.
$4,895.00
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.
$241.72 with WELLCARE 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 |
|---|---|---|---|
| WELLCARE | MANAGED MEDICAID | $241.72 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $241.72 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $241.72 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $241.72 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $241.72 | ↓ -8% |
| VACCN | ALL PRODUCTS | $241.72 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $253.81 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $264.17 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $317.01 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $401.45 | ↑ +52% |
| CIGNA | HMO | $473.14 | ↑ +79% |
| CIGNA | PPO | $473.14 | ↑ +79% |
| AETNA | HMO | $496.40 | ↑ +88% |
| AETNA | PPO | $496.40 | ↑ +88% |
| OXFORD | ALL PRODUCTS | $559.79 | ↑ +112% |
| UNITED HEALTHCARE | HMO | $559.79 | ↑ +112% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $650.00 | ↑ +146% |
| AETNA | MANAGED MEDICAID | $695.09 | ↑ +163% |
| CLOVER | MEDICARE ADVANTAGE | $881.10 | ↑ +234% |
| HORIZON | MANAGED MEDICAID | $932.50 | ↑ +253% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $949.63 | ↑ +259% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $951.00 | ↑ +260% |
| AMERIHEALTH | LOCAL HMO | $1,416.23 | ↑ +436% |
| AMERIHEALTH | REGIONAL HMO | $1,440.73 | ↑ +445% |
| QUALCARE | HMO | $2,083.00 | ↑ +689% |
| QUALCARE | WORKERS COMP | $2,159.44 | ↑ +717% |
| HORIZON | OMNIA | $3,188.60 | ↑ +1107% |
| QUALCARE | PPO | $3,291.00 | ↑ +1146% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,377.55 | ↑ +1179% |
| INTERGROUP | WORKERS COMP | $3,426.50 | ↑ +1197% |
| INTERGROUP | SHARED SAVINGS | $3,426.50 | ↑ +1197% |
| HORIZON | WORKERS COMP | $3,508.74 | ↑ +1228% |
| HORIZON | PIP | $3,783.84 | ↑ +1332% |
| HORIZON | SHP | $3,816.63 | ↑ +1345% |
| AETNA | ASA | $3,832.79 | ↑ +1351% |
| PRIME HEALTH | AUTO INSURANCE | $3,916.00 | ↑ +1382% |
| PRIME HEALTH | WORKERS COMP | $3,916.00 | ↑ +1382% |
| HORIZON | HMO | $3,938.03 | ↑ +1391% |
| HORIZON | INDEMNITY | $3,984.53 | ↑ +1408% |
| HORIZON | PPO | $4,041.31 | ↑ +1430% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,160.75 | ↑ +1475% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +1540% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
MRI breast c- unilateral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $267.55 | $267.55 – $4,332.00 |
| Hackensack University Medical Center | Hackensack | $284.66 | $165.53 – $4,332.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $267.78 | $241.72 – $4,332.00 |
| Jersey Shore University Medical Center | Neptune City | $267.55 | $267.55 – $4,332.00 |
| Palisades Medical Center | North Bergen | $284.66 | $182.60 – $4,332.00 |
| Raritan Bay Medical Center | Perth Amboy | $267.78 | $267.78 – $4,332.00 |
| Riverview Medical Center | Red Bank | $267.55 | $267.55 – $4,332.00 |
| Southern Ocean Medical Center | Manahawkin | $264.17 | $264.17 – $4,332.00 |