Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl 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.
$5,246.00
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.
$418.95 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $418.95 | — |
| AETNA | MANAGED MEDICAID | $744.93 | — |
| CLOVER | MEDICARE ADVANTAGE | $944.28 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,017.72 | — |
| AETNA | MEDICARE ADVANTAGE | $1,070.18 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | — |
| HORIZON | MANAGED MEDICAID | $1,575.00 | — |
| OXFORD | ALL PRODUCTS | $2,810.00 | — |
| HORIZON | OMNIA | $3,417.24 | — |
| UNITED HEALTHCARE | HMO | $3,454.00 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,672.20 | — |
| INTERGROUP | SHARED SAVINGS | $3,672.20 | — |
| INTERGROUP | WORKERS COMP | $3,672.20 | — |
| BERGEN RISK | ALL PRODUCTS | $3,934.50 | — |
| HORIZON | PIP | $4,055.16 | — |
| QUALCARE | PPO | $4,076.14 | — |
| HORIZON | SHP | $4,090.31 | — |
| AETNA | ASA | $4,107.62 | — |
| PRIME HEALTH | WORKERS COMP | $4,196.80 | — |
| PRIME HEALTH | AUTO INSURANCE | $4,196.80 | — |
| HORIZON | HMO | $4,220.41 | — |
| HORIZON | INDEMNITY | $4,270.24 | — |
| HORIZON | PPO | $4,331.10 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,459.10 | — |
| AMERIHEALTH | LOCAL HMO | $4,507.36 | — |
| QUALCARE | WORKERS COMP | $4,616.48 | — |
| CIGNA | PPO | $4,715.63 | — |
| CIGNA | HMO | $4,715.63 | — |
| AMERIHEALTH | REGIONAL HMO | $5,105.41 | — |
| QUALCARE | HMO | $6,256.00 | — |
| AETNA | PPO | $8,419.00 | — |
| AETNA | HMO | $8,419.00 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | — |
| HORIZON | WORKERS COMP | $10,671.00 | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| 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 | — |
Visitor-reported prices
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Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $375.56 – $1,978.15 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $386.61 – $1,739.03 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,895.02 – $1,895.02 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $5,110.00 | $912.85 – $912.85 |
| Robert Wood Johnson University Hospital | New Brunswick | $5,741.00 | $872.40 – $4,025.38 |
| Robert Wood Johnson University Hospital Somerset | Somerville | $6,311.00 | $397.66 – $872.40 |
| Cooperman Barnabas Medical Center | Livingston | not published | $959.07 – $959.07 |
| Community Medical Center | Toms River | not published | $982.18 – $982.18 |