Nasal function studies at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$340.32
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.
$803.00
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.
$44.54 with KARNA vs $781.48 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 | $44.54 | ↓ -87% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | ↓ -69% |
| AETNA | MANAGED MEDICAID | $114.03 | ↓ -66% |
| CLOVER | MEDICARE ADVANTAGE | $144.54 | ↓ -58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $155.78 | ↓ -54% |
| AMERIGROUP | MEDICARE ADVANTAGE | $175.05 | ↓ -49% |
| HORIZON | HMO | $181.00 | ↓ -47% |
| HORIZON | WORKERS COMP | $188.00 | ↓ -45% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $272.54 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $311.40 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $311.40 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $311.40 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $311.40 | ↓ -8% |
| VACCN | ALL PRODUCTS | $311.40 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $326.97 | ↓ -4% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $401.50 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $408.39 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $477.62 | ↑ +40% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $481.80 | ↑ +42% |
| HORIZON | PIP | $489.03 | ↑ +44% |
| HORIZON | INDEMNITY | $489.03 | ↑ +44% |
| HORIZON | OMNIA | $489.03 | ↑ +44% |
| HORIZON | PPO | $489.03 | ↑ +44% |
| HORIZON | SHP | $489.03 | ↑ +44% |
| OXFORD | ALL PRODUCTS | $519.38 | ↑ +53% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $521.95 | ↑ +53% |
| UNITED HEALTHCARE | HMO | $553.43 | ↑ +63% |
| INTERGROUP | SHARED SAVINGS | $562.10 | ↑ +65% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $562.10 | ↑ +65% |
| INTERGROUP | WORKERS COMP | $562.10 | ↑ +65% |
| BERGEN RISK | ALL PRODUCTS | $602.25 | ↑ +77% |
| QUALCARE | PPO | $623.93 | ↑ +83% |
| QUALCARE | HMO | $623.93 | ↑ +83% |
| AETNA | ASA | $628.75 | ↑ +85% |
| PRIME HEALTH | AUTO INSURANCE | $642.40 | ↑ +89% |
| PRIME HEALTH | WORKERS COMP | $642.40 | ↑ +89% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $682.55 | ↑ +101% |
| AMERIHEALTH | LOCAL HMO | $689.94 | ↑ +103% |
| QUALCARE | WORKERS COMP | $706.64 | ↑ +108% |
| AETNA | HMO | $720.05 | ↑ +112% |
| AETNA | PPO | $720.05 | ↑ +112% |
| CIGNA | HMO | $767.91 | ↑ +126% |
| CIGNA | PPO | $767.91 | ↑ +126% |
| AMERIHEALTH | REGIONAL HMO | $781.48 | ↑ +130% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Nasal function studies at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $344.68 | $344.68 – $413.61 |
| Hackensack University Medical Center | Hackensack | $366.72 | $45.85 – $4,994.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $344.98 | $45.85 – $2,437.00 |
| Jersey Shore University Medical Center | Neptune City | $344.68 | $44.54 – $413.61 |
| Palisades Medical Center | North Bergen | $366.72 | $38.18 – $576.00 |
| Raritan Bay Medical Center | Perth Amboy | $344.98 | $45.85 – $413.97 |
| Riverview Medical Center | Red Bank | $344.68 | $44.54 – $413.61 |
| Southern Ocean Medical Center | Manahawkin | $340.32 | $44.54 – $408.39 |