Pr assessment emotional/behavioral per instrument brief 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.
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What you pay up front if you don't use insurance.
$102.00
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.
$8.01 with KARNA vs $566.00 with UNITED HEALTHCARE — 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 | $8.01 | ↓ -81% |
| AETNA | MANAGED MEDICAID | $14.48 | ↓ -66% |
| CLOVER | MEDICARE ADVANTAGE | $18.36 | ↓ -57% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $19.79 | ↓ -54% |
| AMERIGROUP | MEDICARE ADVANTAGE | $39.25 | ↓ -9% |
| VACCN | ALL PRODUCTS | $39.25 | ↓ -9% |
| HORIZON | MEDICARE ADVANTAGE | $39.25 | ↓ -9% |
| AETNA | MEDICARE ADVANTAGE | $39.25 | ↓ -9% |
| WELLCARE | MANAGED MEDICAID | $39.25 | ↓ -9% |
| WELLCARE | MEDICARE ADVANTAGE | $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% |
| QUALCARE | HMO | $56.30 | ↑ +31% |
| QUALCARE | PPO | $56.30 | ↑ +31% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $60.08 | ↑ +40% |
| HORIZON | MANAGED MEDICAID | $60.67 | ↑ +41% |
| HORIZON | OMNIA | $66.44 | ↑ +55% |
| INTERGROUP | SHARED SAVINGS | $71.40 | ↑ +66% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $71.40 | ↑ +66% |
| INTERGROUP | WORKERS COMP | $71.40 | ↑ +66% |
| HORIZON | WORKERS COMP | $73.11 | ↑ +70% |
| BERGEN RISK | ALL PRODUCTS | $76.50 | ↑ +78% |
| HORIZON | PIP | $78.85 | ↑ +84% |
| HORIZON | SHP | $79.53 | ↑ +85% |
| AETNA | ASA | $79.87 | ↑ +86% |
| PRIME HEALTH | AUTO INSURANCE | $81.60 | ↑ +90% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $81.60 | ↑ +90% |
| PRIME HEALTH | WORKERS COMP | $81.60 | ↑ +90% |
| HORIZON | HMO | $82.06 | ↑ +91% |
| HORIZON | INDEMNITY | $83.03 | ↑ +94% |
| HORIZON | PPO | $84.21 | ↑ +96% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $86.70 | ↑ +102% |
| AMERIHEALTH | LOCAL HMO | $87.64 | ↑ +104% |
| QUALCARE | WORKERS COMP | $89.76 | ↑ +109% |
| AETNA | PPO | $91.46 | ↑ +113% |
| AETNA | HMO | $91.46 | ↑ +113% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $91.80 | ↑ +114% |
| CIGNA | HMO | $97.54 | ↑ +127% |
| CIGNA | PPO | $97.54 | ↑ +127% |
| AMERIHEALTH | REGIONAL HMO | $99.27 | ↑ +131% |
| OXFORD | ALL PRODUCTS | $393.00 | ↑ +816% |
| UNITED HEALTHCARE | HMO | $566.00 | ↑ +1219% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pr assessment emotional/behavioral per instrument brief at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Childrens Specialized Hospital | Mountainside | $9.00 | $8.26 – $8.26 |
| Bayshore Medical Center | Holmdel | $43.44 | $43.44 – $393.00 |
| Hackensack University Medical Center | Hackensack | $46.22 | $8.43 – $1,673.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $43.48 | $3.02 – $759.00 |
| Jersey Shore University Medical Center | Neptune City | $43.44 | $3.02 – $426.00 |
| Palisades Medical Center | North Bergen | $46.22 | $8.43 – $1,353.00 |
| Raritan Bay Medical Center | Perth Amboy | $43.48 | $8.43 – $389.00 |
| Riverview Medical Center | Red Bank | $43.44 | $8.01 – $399.00 |