Ortho hnd/fngr w/jnt cstm w/fit&adj at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
not published by hospital
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.
$438.00
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.
$78.84 with CLOVER vs $533.61 with KARNA — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $78.84 | — |
| AETNA | MEDICARE ADVANTAGE | $89.35 | — |
| AMERIHEALTH | LOCAL HMO | $127.41 | — |
| AMERIHEALTH | REGIONAL HMO | $139.37 | — |
| CIGNA | HMO | $157.68 | — |
| CIGNA | PPO | $157.68 | — |
| HORIZON | MANAGED MEDICAID | $191.17 | — |
| WELLCARE | MEDICARE ADVANTAGE | $197.10 | — |
| AETNA | MANAGED MEDICAID | $214.62 | — |
| HORIZON | INDEMNITY | $219.00 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $219.00 | — |
| HORIZON | SHP | $219.00 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $219.00 | — |
| HORIZON | PPO | $219.00 | — |
| HORIZON | OMNIA | $219.00 | — |
| HORIZON | HMO | $219.00 | — |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $220.31 | — |
| QUALCARE | WORKERS COMP | $225.57 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $232.14 | — |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $244.84 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $257.98 | — |
| BERGEN RISK | ALL PRODUCTS | $262.80 | — |
| WELLCARE | MANAGED MEDICAID | $272.01 | — |
| AETNA | PPO | $281.90 | — |
| AETNA | HMO | $281.90 | — |
| AETNA | ASA | $281.90 | — |
| INTERGROUP | SHARED SAVINGS | $306.60 | — |
| BRIGHTON HEALTH PLAN | PNO | $306.60 | — |
| INTERGROUP | WORKERS COMP | $306.60 | — |
| HORIZON | WORKERS COMP | $313.96 | — |
| HORIZON | PIP | $338.57 | — |
| PRIME HEALTH | WORKERS COMP | $350.40 | — |
| PRIME HEALTH | AUTO INSURANCE | $350.40 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $372.30 | — |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $438.00 | — |
| KARNA | MEDICARE ADVANTAGE | $533.61 | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| UNITED HEALTHCARE | HMO | not published by hospital | — |
| OXFORD | ALL PRODUCTS | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| QUALCARE | HMO | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| QUALCARE | PPO | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ortho hnd/fngr w/jnt cstm w/fit&adj at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $142.95 | $204.50 – $684.12 |
| Cooperman Barnabas Medical Center | Livingston | $115.27 | $343.78 – $687.56 |
| Community Medical Center | Toms River | $112.82 | $343.78 – $684.12 |
| Clara Maass Medical Center | Belleville | $108.20 | $343.78 – $684.12 |
| Newark Beth Israel Medical Center | Newark | $113.31 | $210.51 – $684.12 |
| Jersey City Medical Center | Jersey City | $113.04 | $264.65 – $684.12 |
| Monmouth Medical Center | Long Branch | $119.02 | $343.78 – $684.12 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $124.82 | $343.78 – $684.12 |