Oth resp proc, group at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$42.90
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.
$385.00
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.
$23.46 with KARNA vs $374.68 with AMERIHEALTH — 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 | $23.46 | ↓ -45% |
| AETNA | HMO | $34.86 | ↓ -19% |
| AETNA | PPO | $34.86 | ↓ -19% |
| AETNA | ASA | $34.86 | ↓ -19% |
| HORIZON | MEDICARE ADVANTAGE | $39.25 | ↓ -9% |
| WELLCARE | MEDICARE ADVANTAGE | $39.25 | ↓ -9% |
| AETNA | MEDICARE ADVANTAGE | $39.25 | ↓ -9% |
| WELLCARE | MANAGED MEDICAID | $39.25 | ↓ -9% |
| VACCN | ALL PRODUCTS | $39.25 | ↓ -9% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $41.21 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $42.90 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $51.47 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $54.67 | ↑ +27% |
| CLOVER | MEDICARE ADVANTAGE | $69.30 | ↑ +62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $74.69 | ↑ +74% |
| AMERIGROUP | MEDICARE ADVANTAGE | $83.93 | ↑ +96% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $130.67 | ↑ +205% |
| HORIZON | HMO | $181.00 | ↑ +322% |
| HORIZON | WORKERS COMP | $188.00 | ↑ +338% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $192.50 | ↑ +349% |
| HORIZON | MANAGED MEDICAID | $229.00 | ↑ +434% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $231.00 | ↑ +438% |
| HORIZON | PIP | $234.47 | ↑ +447% |
| HORIZON | INDEMNITY | $234.47 | ↑ +447% |
| HORIZON | OMNIA | $234.47 | ↑ +447% |
| HORIZON | PPO | $234.47 | ↑ +447% |
| HORIZON | SHP | $234.47 | ↑ +447% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $250.25 | ↑ +483% |
| INTERGROUP | SHARED SAVINGS | $269.50 | ↑ +528% |
| INTERGROUP | WORKERS COMP | $269.50 | ↑ +528% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $269.50 | ↑ +528% |
| BERGEN RISK | ALL PRODUCTS | $288.75 | ↑ +573% |
| QUALCARE | PPO | $299.15 | ↑ +597% |
| QUALCARE | HMO | $299.15 | ↑ +597% |
| PRIME HEALTH | AUTO INSURANCE | $308.00 | ↑ +618% |
| PRIME HEALTH | WORKERS COMP | $308.00 | ↑ +618% |
| OXFORD | ALL PRODUCTS | $317.00 | ↑ +639% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $327.25 | ↑ +663% |
| AMERIHEALTH | LOCAL HMO | $330.79 | ↑ +671% |
| QUALCARE | WORKERS COMP | $338.80 | ↑ +690% |
| UNITED HEALTHCARE | HMO | $359.00 | ↑ +737% |
| CIGNA | HMO | $368.18 | ↑ +758% |
| CIGNA | PPO | $368.18 | ↑ +758% |
| AMERIHEALTH | REGIONAL HMO | $374.68 | ↑ +773% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Oth resp proc, group at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $57.81 | $42.90 – $85.80 |
| Cooperman Barnabas Medical Center | Livingston | $90.26 | $44.04 – $88.08 |
| Community Medical Center | Toms River | $63.87 | $42.90 – $85.37 |
| Clara Maass Medical Center | Belleville | $71.80 | $44.04 – $87.64 |
| Monmouth Medical Center | Long Branch | $67.39 | $43.44 – $326.00 |
| Bayshore Medical Center | Holmdel | $43.44 | $43.44 – $770.00 |
| Hackensack University Medical Center | Hackensack | $46.22 | $24.81 – $794.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $43.48 | $24.81 – $342.00 |