MRI lower extremity other than joint without & w/contrast (both sides) at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$390.30
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.
$5,616.00
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.
$357.13 with HORIZON vs $4,773.60 with MULTIPLAN - PHCS — 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 |
|---|---|---|---|
| HORIZON | MEDICARE ADVANTAGE | $357.13 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $357.13 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $357.13 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $357.13 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $357.13 | ↓ -8% |
| VACCN | ALL PRODUCTS | $357.13 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $374.99 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $390.30 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $468.36 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $636.99 | ↑ +63% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $650.00 | ↑ +67% |
| CIGNA | PPO | $777.96 | ↑ +99% |
| CIGNA | HMO | $777.96 | ↑ +99% |
| AETNA | MANAGED MEDICAID | $797.47 | ↑ +104% |
| OXFORD | ALL PRODUCTS | $895.45 | ↑ +129% |
| UNITED HEALTHCARE | HMO | $895.45 | ↑ +129% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $951.00 | ↑ +144% |
| CLOVER | MEDICARE ADVANTAGE | $1,010.88 | ↑ +159% |
| HORIZON | MANAGED MEDICAID | $1,069.85 | ↑ +174% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,089.50 | ↑ +179% |
| AETNA | PPO | $1,108.38 | ↑ +184% |
| AETNA | HMO | $1,108.38 | ↑ +184% |
| AMERIHEALTH | LOCAL HMO | $1,531.59 | ↑ +292% |
| AMERIHEALTH | REGIONAL HMO | $1,558.09 | ↑ +299% |
| QUALCARE | HMO | $2,083.00 | ↑ +434% |
| QUALCARE | WORKERS COMP | $2,159.44 | ↑ +453% |
| QUALCARE | PPO | $3,291.00 | ↑ +743% |
| HORIZON | OMNIA | $3,658.26 | ↑ +837% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,875.04 | ↑ +893% |
| INTERGROUP | WORKERS COMP | $3,931.20 | ↑ +907% |
| INTERGROUP | SHARED SAVINGS | $3,931.20 | ↑ +907% |
| HORIZON | WORKERS COMP | $4,025.55 | ↑ +931% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +1010% |
| HORIZON | PIP | $4,341.17 | ↑ +1012% |
| HORIZON | SHP | $4,378.80 | ↑ +1022% |
| AETNA | ASA | $4,397.33 | ↑ +1027% |
| PRIME HEALTH | WORKERS COMP | $4,492.80 | ↑ +1051% |
| PRIME HEALTH | AUTO INSURANCE | $4,492.80 | ↑ +1051% |
| HORIZON | HMO | $4,518.07 | ↑ +1058% |
| HORIZON | INDEMNITY | $4,571.42 | ↑ +1071% |
| HORIZON | PPO | $4,636.57 | ↑ +1088% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,773.60 | ↑ +1123% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
MRI lower extremity other than joint without & w/contrast (both sides) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $395.29 | $395.29 – $4,332.00 |
| Hackensack University Medical Center | Hackensack | $420.58 | $336.46 – $4,332.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $395.64 | $357.13 – $4,332.00 |
| Jersey Shore University Medical Center | Neptune City | $395.29 | $395.29 – $4,332.00 |
| Palisades Medical Center | North Bergen | $420.58 | $420.58 – $4,332.00 |
| Raritan Bay Medical Center | Perth Amboy | $395.64 | $395.64 – $4,332.00 |
| Riverview Medical Center | Red Bank | $395.29 | $395.29 – $4,332.00 |
| Southern Ocean Medical Center | Manahawkin | $390.30 | $390.30 – $4,332.00 |