Perit-vens shunt pat tst at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$439.15
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.
$1,792.00
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.
$229.16 with UNITED HEALTHCARE vs $1,612.80 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $229.16 | ↓ -48% |
| AETNA | MANAGED MEDICAID | $254.46 | ↓ -42% |
| CLOVER | MEDICARE ADVANTAGE | $322.56 | ↓ -27% |
| AMERIHEALTH | LOCAL HMO | $330.19 | ↓ -25% |
| AMERIHEALTH | REGIONAL HMO | $335.90 | ↓ -24% |
| HORIZON | MANAGED MEDICAID | $341.38 | ↓ -22% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $347.65 | ↓ -21% |
| AMERIGROUP | MEDICARE ADVANTAGE | $401.83 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $401.83 | ↓ -8% |
| VACCN | ALL PRODUCTS | $401.83 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $401.83 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $401.83 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $401.83 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $421.92 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $439.15 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $447.51 | ↑ +2% |
| UNITED HEALTHCARE | DSNP | $526.98 | ↑ +20% |
| AETNA | HMO | $624.27 | ↑ +42% |
| AETNA | PPO | $624.27 | ↑ +42% |
| CIGNA | HMO | $762.36 | ↑ +74% |
| CIGNA | PPO | $762.36 | ↑ +74% |
| UNITED HEALTHCARE | HMO | $1,021.05 | ↑ +133% |
| OXFORD | ALL PRODUCTS | $1,021.05 | ↑ +133% |
| HORIZON | OMNIA | $1,167.31 | ↑ +166% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,254.40 | ↑ +186% |
| INTERGROUP | SHARED SAVINGS | $1,254.40 | ↑ +186% |
| INTERGROUP | WORKERS COMP | $1,254.40 | ↑ +186% |
| HORIZON | WORKERS COMP | $1,284.51 | ↑ +192% |
| BERGEN RISK | ALL PRODUCTS | $1,344.00 | ↑ +206% |
| QUALCARE | WORKERS COMP | $1,385.22 | ↑ +215% |
| HORIZON | PIP | $1,385.22 | ↑ +215% |
| QUALCARE | HMO | $1,385.22 | ↑ +215% |
| QUALCARE | PPO | $1,385.22 | ↑ +215% |
| HORIZON | SHP | $1,397.22 | ↑ +218% |
| AETNA | ASA | $1,403.14 | ↑ +220% |
| PRIME HEALTH | AUTO INSURANCE | $1,433.60 | ↑ +226% |
| PRIME HEALTH | WORKERS COMP | $1,433.60 | ↑ +226% |
| HORIZON | HMO | $1,441.66 | ↑ +228% |
| HORIZON | INDEMNITY | $1,458.69 | ↑ +232% |
| HORIZON | PPO | $1,479.48 | ↑ +237% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,523.20 | ↑ +247% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,612.80 | ↑ +267% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Perit-vens shunt pat tst at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $320.22 | $52.81 – $1,046.31 |
| Bayshore Medical Center | Holmdel | $444.77 | $229.16 – $1,021.05 |
| Hackensack University Medical Center | Hackensack | $473.22 | $47.87 – $1,166.24 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $445.16 | $295.26 – $1,081.39 |
| Jersey Shore University Medical Center | Neptune City | $444.77 | $229.16 – $1,158.70 |
| Palisades Medical Center | North Bergen | $473.22 | $52.81 – $1,021.05 |
| Raritan Bay Medical Center | Perth Amboy | $445.16 | $72.45 – $1,021.05 |
| Riverview Medical Center | Red Bank | $444.77 | $45.08 – $1,021.05 |