Plcmt dlyd xtn pros 1st vsl 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.
$3,650.00
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.
$518.30 with AETNA vs $10,671.00 with HORIZON — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $518.30 | — |
| CLOVER | MEDICARE ADVANTAGE | $657.00 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $708.10 | — |
| AETNA | MEDICARE ADVANTAGE | $744.60 | — |
| HORIZON | MANAGED MEDICAID | $1,575.00 | — |
| KARNA | MEDICARE ADVANTAGE | $1,591.12 | — |
| HORIZON | OMNIA | $2,377.61 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,555.00 | — |
| INTERGROUP | SHARED SAVINGS | $2,555.00 | — |
| INTERGROUP | WORKERS COMP | $2,555.00 | — |
| BERGEN RISK | ALL PRODUCTS | $2,737.50 | — |
| HORIZON | PIP | $2,821.45 | — |
| QUALCARE | PPO | $2,836.05 | — |
| HORIZON | SHP | $2,845.91 | — |
| AETNA | ASA | $2,857.95 | — |
| PRIME HEALTH | WORKERS COMP | $2,920.00 | — |
| PRIME HEALTH | AUTO INSURANCE | $2,920.00 | — |
| HORIZON | HMO | $2,936.43 | — |
| HORIZON | INDEMNITY | $2,971.10 | — |
| HORIZON | PPO | $3,013.44 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,102.50 | — |
| AMERIHEALTH | LOCAL HMO | $3,136.08 | — |
| QUALCARE | WORKERS COMP | $3,212.00 | — |
| CIGNA | PPO | $3,280.99 | — |
| CIGNA | HMO | $3,280.99 | — |
| AMERIHEALTH | REGIONAL HMO | $3,552.18 | — |
| QUALCARE | HMO | $6,256.00 | — |
| OXFORD | ALL PRODUCTS | $7,672.00 | — |
| AETNA | PPO | $8,419.00 | — |
| AETNA | HMO | $8,419.00 | — |
| UNITED HEALTHCARE | HMO | $9,678.00 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | — |
| HORIZON | WORKERS COMP | $10,671.00 | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
Visitor-reported prices
Comments
Plcmt dlyd xtn pros 1st vsl at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Robert Wood Johnson University Hospital | New Brunswick | $5,741.00 | $196.39 – $782.60 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $6,311.00 | $414.49 – $782.60 |
| Trinitas Regional Medical Center | Elizabeth | not published | $391.47 – $1,352.71 |
| Cooperman Barnabas Medical Center | Livingston | not published | $860.34 – $860.34 |
| Community Medical Center | Toms River | not published | $881.08 – $881.08 |
| Clara Maass Medical Center | Belleville | not published | $849.98 – $849.98 |
| Newark Beth Israel Medical Center | Newark | not published | $402.98 – $1,560.02 |
| Jersey City Medical Center | Jersey City | not published | $506.60 – $932.90 |