Pretreat rbc w chem/drugs reference at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$64.92
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.
$1,090.00
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.
$7.38 with AETNA vs $77.90 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $7.38 | ↓ -89% |
| HORIZON | MANAGED MEDICAID | $9.91 | ↓ -85% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $10.09 | ↓ -84% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $16.50 | ↓ -75% |
| QUALCARE | HMO | $25.79 | ↓ -60% |
| OXFORD | ALL PRODUCTS | $28.13 | ↓ -57% |
| HORIZON | OMNIA | $33.87 | ↓ -48% |
| AETNA | PPO | $35.78 | ↓ -45% |
| AETNA | HMO | $35.78 | ↓ -45% |
| INTERGROUP | WORKERS COMP | $36.40 | ↓ -44% |
| INTERGROUP | SHARED SAVINGS | $36.40 | ↓ -44% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $36.40 | ↓ -44% |
| HORIZON | WORKERS COMP | $37.27 | ↓ -43% |
| KARNA | MEDICARE ADVANTAGE | $38.88 | ↓ -40% |
| BERGEN RISK | ALL PRODUCTS | $39.00 | ↓ -40% |
| QUALCARE | PPO | $40.20 | ↓ -38% |
| QUALCARE | WORKERS COMP | $40.20 | ↓ -38% |
| HORIZON | PIP | $40.20 | ↓ -38% |
| HORIZON | SHP | $40.54 | ↓ -38% |
| AETNA | ASA | $40.72 | ↓ -37% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $41.60 | ↓ -36% |
| PRIME HEALTH | WORKERS COMP | $41.60 | ↓ -36% |
| PRIME HEALTH | AUTO INSURANCE | $41.60 | ↓ -36% |
| HORIZON | HMO | $41.83 | ↓ -36% |
| HORIZON | INDEMNITY | $42.33 | ↓ -35% |
| HORIZON | PPO | $42.93 | ↓ -34% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $44.20 | ↓ -32% |
| AMERIHEALTH | LOCAL HMO | $44.68 | ↓ -31% |
| CIGNA | HMO | $49.73 | ↓ -23% |
| CIGNA | PPO | $49.73 | ↓ -23% |
| AMERIHEALTH | REGIONAL HMO | $50.61 | ↓ -22% |
| WELLCARE | MEDICARE ADVANTAGE | $59.40 | ↓ -9% |
| HORIZON | MEDICARE ADVANTAGE | $59.40 | ↓ -9% |
| AMERIGROUP | MEDICARE ADVANTAGE | $59.40 | ↓ -9% |
| AETNA | MEDICARE ADVANTAGE | $59.40 | ↓ -9% |
| VACCN | ALL PRODUCTS | $59.40 | ↓ -9% |
| WELLCARE | MANAGED MEDICAID | $59.40 | ↓ -9% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $62.37 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $64.92 | ↑ +0% |
| UNITED HEALTHCARE | HMO | $69.46 | ↑ +7% |
| UNITED HEALTHCARE | DSNP | $77.90 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pretreat rbc w chem/drugs reference at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $32.65 | $15.30 – $129.84 |
| Cooperman Barnabas Medical Center | Livingston | $36.87 | $14.58 – $133.28 |
| Community Medical Center | Toms River | $36.08 | $14.58 – $129.19 |
| Clara Maass Medical Center | Belleville | $21.87 | $14.58 – $132.61 |
| Newark Beth Israel Medical Center | Newark | $36.24 | $14.58 – $133.28 |
| Jersey City Medical Center | Jersey City | $36.15 | $14.58 – $139.20 |
| Monmouth Medical Center | Long Branch | $38.07 | $14.58 – $130.84 |
| Bayshore Medical Center | Holmdel | $65.75 | $27.38 – $71.66 |