Proctosigmoidoscopy removal at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$2,997.10
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.
$6,034.00
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.
$174.97 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 | $174.97 | ↓ -94% |
| HORIZON | MANAGED MEDICAID | $848.00 | ↓ -72% |
| AETNA | MANAGED MEDICAID | $856.83 | ↓ -71% |
| CLOVER | MEDICARE ADVANTAGE | $1,086.12 | ↓ -64% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,170.60 | ↓ -61% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -60% |
| CIGNA | HMO | $2,248.00 | ↓ -25% |
| CIGNA | PPO | $2,519.00 | ↓ -16% |
| HORIZON | MEDICARE ADVANTAGE | $2,742.39 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $2,742.39 | ↓ -8% |
| VACCN | ALL PRODUCTS | $2,742.39 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $2,742.39 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $2,742.39 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $2,742.39 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,879.51 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,997.10 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $3,596.52 | ↑ +20% |
| HORIZON | OMNIA | $3,930.55 | ↑ +31% |
| INTERGROUP | SHARED SAVINGS | $4,223.80 | ↑ +41% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,223.80 | ↑ +41% |
| INTERGROUP | WORKERS COMP | $4,223.80 | ↑ +41% |
| BERGEN RISK | ALL PRODUCTS | $4,525.50 | ↑ +51% |
| HORIZON | PIP | $4,664.28 | ↑ +56% |
| QUALCARE | PPO | $4,688.42 | ↑ +56% |
| HORIZON | SHP | $4,704.71 | ↑ +57% |
| AETNA | ASA | $4,724.62 | ↑ +58% |
| PRIME HEALTH | AUTO INSURANCE | $4,827.20 | ↑ +61% |
| PRIME HEALTH | WORKERS COMP | $4,827.20 | ↑ +61% |
| HORIZON | HMO | $4,854.35 | ↑ +62% |
| HORIZON | INDEMNITY | $4,911.68 | ↑ +64% |
| HORIZON | PPO | $4,981.67 | ↑ +66% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,128.90 | ↑ +71% |
| AMERIHEALTH | LOCAL HMO | $5,184.41 | ↑ +73% |
| QUALCARE | WORKERS COMP | $5,309.92 | ↑ +77% |
| AMERIHEALTH | REGIONAL HMO | $5,872.29 | ↑ +96% |
| OXFORD | ALL PRODUCTS | $6,137.00 | ↑ +105% |
| QUALCARE | HMO | $6,256.00 | ↑ +109% |
| UNITED HEALTHCARE | HMO | $7,714.00 | ↑ +157% |
| AETNA | PPO | $8,419.00 | ↑ +181% |
| AETNA | HMO | $8,419.00 | ↑ +181% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +231% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +256% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Proctosigmoidoscopy removal at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $106.21 – $5,994.20 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $89.89 – $6,153.48 |
| Community Medical Center | Toms River | $3,786.00 | $92.06 – $5,964.23 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $88.81 – $6,122.71 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $109.34 – $6,153.48 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $97.47 – $6,426.90 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $177.61 – $6,040.53 |
| Bayshore Medical Center | Holmdel | $3,035.44 | $3,035.44 – $3,642.53 |