Prgrmg dev eval pm/ldls pm at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$40.75
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.
$460.00
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.
$37.29 with VACCN vs $447.67 with AMERIHEALTH — 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 |
|---|---|---|---|
| VACCN | ALL PRODUCTS | $37.29 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $37.29 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $37.29 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $37.29 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $37.29 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $39.15 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $40.75 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $48.90 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $65.32 | ↑ +60% |
| CLOVER | MEDICARE ADVANTAGE | $82.80 | ↑ +103% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $89.24 | ↑ +119% |
| AMERIGROUP | MEDICARE ADVANTAGE | $100.28 | ↑ +146% |
| KARNA | MEDICARE ADVANTAGE | $113.04 | ↑ +177% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $156.12 | ↑ +283% |
| HORIZON | HMO | $181.00 | ↑ +344% |
| HORIZON | WORKERS COMP | $188.00 | ↑ +361% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $230.00 | ↑ +464% |
| HORIZON | MANAGED MEDICAID | $273.61 | ↑ +571% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $276.00 | ↑ +577% |
| HORIZON | PIP | $280.14 | ↑ +587% |
| HORIZON | INDEMNITY | $280.14 | ↑ +587% |
| HORIZON | OMNIA | $280.14 | ↑ +587% |
| HORIZON | PPO | $280.14 | ↑ +587% |
| HORIZON | SHP | $280.14 | ↑ +587% |
| OXFORD | ALL PRODUCTS | $297.53 | ↑ +630% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $299.00 | ↑ +634% |
| UNITED HEALTHCARE | HMO | $317.03 | ↑ +678% |
| INTERGROUP | SHARED SAVINGS | $322.00 | ↑ +690% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $322.00 | ↑ +690% |
| INTERGROUP | WORKERS COMP | $322.00 | ↑ +690% |
| BERGEN RISK | ALL PRODUCTS | $345.00 | ↑ +747% |
| QUALCARE | PPO | $357.42 | ↑ +777% |
| QUALCARE | HMO | $357.42 | ↑ +777% |
| AETNA | ASA | $360.18 | ↑ +784% |
| PRIME HEALTH | WORKERS COMP | $368.00 | ↑ +803% |
| PRIME HEALTH | AUTO INSURANCE | $368.00 | ↑ +803% |
| AETNA | HMO | $390.26 | ↑ +858% |
| AETNA | PPO | $390.26 | ↑ +858% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $391.00 | ↑ +860% |
| AMERIHEALTH | LOCAL HMO | $395.23 | ↑ +870% |
| QUALCARE | WORKERS COMP | $404.80 | ↑ +893% |
| CIGNA | HMO | $439.90 | ↑ +980% |
| CIGNA | PPO | $439.90 | ↑ +980% |
| AMERIHEALTH | REGIONAL HMO | $447.67 | ↑ +999% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
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Prgrmg dev eval pm/ldls pm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Newark Beth Israel Medical Center | Newark | $52.69 | $35.61 – $83.68 |
| Bayshore Medical Center | Holmdel | $41.27 | $41.27 – $49.53 |
| Hackensack University Medical Center | Hackensack | $43.91 | $35.13 – $2,033.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $41.31 | $37.29 – $1,042.00 |
| Jersey Shore University Medical Center | Neptune City | $41.27 | $41.27 – $113.04 |
| Palisades Medical Center | North Bergen | $43.91 | $43.91 – $118.27 |
| Raritan Bay Medical Center | Perth Amboy | $41.31 | $41.31 – $118.27 |
| Riverview Medical Center | Red Bank | $41.27 | $41.27 – $113.04 |