Njx interlaminar lmbr/sac at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$972.98
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.
?
What you pay up front if you don't use insurance.
$2,067.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$219.90 with KARNA vs $10,671.00 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $219.90 | ↓ -77% |
| AETNA | MANAGED MEDICAID | $293.51 | ↓ -70% |
| CLOVER | MEDICARE ADVANTAGE | $372.06 | ↓ -62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $401.00 | ↓ -59% |
| VACCN | ALL PRODUCTS | $890.29 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $890.29 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $890.29 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $890.29 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $890.29 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $890.29 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $934.80 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $972.98 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $1,167.58 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +22% |
| HORIZON | OMNIA | $1,346.44 | ↑ +38% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,446.90 | ↑ +49% |
| INTERGROUP | SHARED SAVINGS | $1,446.90 | ↑ +49% |
| INTERGROUP | WORKERS COMP | $1,446.90 | ↑ +49% |
| BERGEN RISK | ALL PRODUCTS | $1,550.25 | ↑ +59% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↑ +62% |
| HORIZON | PIP | $1,597.79 | ↑ +64% |
| QUALCARE | PPO | $1,606.06 | ↑ +65% |
| HORIZON | SHP | $1,611.64 | ↑ +66% |
| AETNA | ASA | $1,618.46 | ↑ +66% |
| PRIME HEALTH | AUTO INSURANCE | $1,653.60 | ↑ +70% |
| PRIME HEALTH | WORKERS COMP | $1,653.60 | ↑ +70% |
| HORIZON | HMO | $1,662.90 | ↑ +71% |
| HORIZON | INDEMNITY | $1,682.54 | ↑ +73% |
| HORIZON | PPO | $1,706.52 | ↑ +75% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,756.95 | ↑ +81% |
| AMERIHEALTH | LOCAL HMO | $1,775.97 | ↑ +83% |
| QUALCARE | WORKERS COMP | $1,818.96 | ↑ +87% |
| CIGNA | HMO | $1,870.43 | ↑ +92% |
| CIGNA | PPO | $1,870.43 | ↑ +92% |
| AMERIHEALTH | REGIONAL HMO | $2,011.60 | ↑ +107% |
| OXFORD | ALL PRODUCTS | $4,090.00 | ↑ +320% |
| UNITED HEALTHCARE | HMO | $5,092.00 | ↑ +423% |
| QUALCARE | HMO | $6,256.00 | ↑ +543% |
| AETNA | PPO | $8,419.00 | ↑ +765% |
| AETNA | HMO | $8,419.00 | ↑ +765% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +921% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +997% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Njx interlaminar lmbr/sac at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $141.66 – $1,945.96 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $166.64 – $1,997.66 |
| Community Medical Center | Toms River | $3,786.00 | $166.64 – $1,936.23 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $166.64 – $1,987.67 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $145.82 – $1,997.66 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $166.64 – $2,086.44 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $166.64 – $1,961.01 |
| Bayshore Medical Center | Holmdel | $985.43 | $985.43 – $1,182.51 |