Optx post ankle fx at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$7,807.24
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.
$12,671.00
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.
$1,525.97 with KARNA vs $24,438.00 with UNITED HEALTHCARE — 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 | $1,525.97 | ↓ -80% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↓ -80% |
| AETNA | MANAGED MEDICAID | $1,799.28 | ↓ -77% |
| CLOVER | MEDICARE ADVANTAGE | $2,280.78 | ↓ -71% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -70% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,458.17 | ↓ -69% |
| QUALCARE | HMO | $6,256.00 | ↓ -20% |
| HORIZON | OMNIA | $7,014.00 | ↓ -10% |
| VACCN | ALL PRODUCTS | $7,143.73 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $7,143.73 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $7,143.73 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $7,143.73 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $7,143.73 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $7,143.73 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $7,500.92 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $7,807.24 | ↑ +0% |
| HORIZON | SHP | $8,000.00 | ↑ +2% |
| AETNA | PPO | $8,419.00 | ↑ +8% |
| AETNA | HMO | $8,419.00 | ↑ +8% |
| HORIZON | HMO | $8,659.00 | ↑ +11% |
| HORIZON | INDEMNITY | $8,750.00 | ↑ +12% |
| INTERGROUP | WORKERS COMP | $8,869.70 | ↑ +14% |
| INTERGROUP | SHARED SAVINGS | $8,869.70 | ↑ +14% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $8,869.70 | ↑ +14% |
| HORIZON | PPO | $8,885.00 | ↑ +14% |
| CIGNA | HMO | $9,178.00 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $9,368.69 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $9,503.25 | ↑ +22% |
| HORIZON | PIP | $9,794.68 | ↑ +25% |
| QUALCARE | PPO | $9,845.37 | ↑ +26% |
| AETNA | ASA | $9,921.39 | ↑ +27% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +27% |
| PRIME HEALTH | WORKERS COMP | $10,136.80 | ↑ +30% |
| PRIME HEALTH | AUTO INSURANCE | $10,136.80 | ↑ +30% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +37% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $10,770.35 | ↑ +38% |
| CIGNA | PPO | $10,771.00 | ↑ +38% |
| QUALCARE | WORKERS COMP | $10,822.00 | ↑ +39% |
| AMERIHEALTH | LOCAL HMO | $10,886.92 | ↑ +39% |
| AMERIHEALTH | REGIONAL HMO | $12,331.42 | ↑ +58% |
| OXFORD | ALL PRODUCTS | $18,419.00 | ↑ +136% |
| UNITED HEALTHCARE | HMO | $24,438.00 | ↑ +213% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Optx post ankle fx at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $375.44 – $15,614.48 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $8,014.69 – $16,029.38 |
| Community Medical Center | Toms River | $3,786.00 | $7,807.24 – $15,536.41 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $8,014.69 – $15,949.23 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $386.48 – $16,029.38 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $485.87 – $16,741.65 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $7,907.11 – $15,735.15 |
| Bayshore Medical Center | Holmdel | $7,907.11 | $7,907.11 – $9,488.53 |