Pt application of modality >=1 area hot/cold packs 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.
$66.00
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.
$9.37 with AETNA vs $500.00 with BRIGHTON HEALTH PLAN - JRI@OUMC — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $9.37 | — |
| KARNA | MEDICARE ADVANTAGE | $10.68 | — |
| CLOVER | MEDICARE ADVANTAGE | $11.88 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $12.80 | — |
| AETNA | MEDICARE ADVANTAGE | $13.46 | — |
| AMERIGROUP | MEDICARE ADVANTAGE | $14.39 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $22.40 | — |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $33.00 | — |
| HORIZON | OMNIA | $40.19 | — |
| HORIZON | SHP | $40.19 | — |
| HORIZON | INDEMNITY | $40.19 | — |
| HORIZON | PPO | $40.19 | — |
| HORIZON | PIP | $40.19 | — |
| INTERGROUP | WORKERS COMP | $46.20 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $46.20 | — |
| INTERGROUP | SHARED SAVINGS | $46.20 | — |
| HORIZON | WORKERS COMP | $47.31 | — |
| AETNA | PPO | $48.00 | — |
| AETNA | HMO | $48.00 | — |
| QUALCARE | PPO | $51.28 | — |
| AETNA | ASA | $51.68 | — |
| PRIME HEALTH | WORKERS COMP | $52.80 | — |
| PRIME HEALTH | AUTO INSURANCE | $52.80 | — |
| HORIZON | HMO | $53.10 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $56.10 | — |
| AMERIHEALTH | LOCAL HMO | $56.71 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $59.40 | — |
| HORIZON | MANAGED MEDICAID | $60.00 | — |
| CIGNA | PPO | $63.12 | — |
| CIGNA | HMO | $63.12 | — |
| AMERIHEALTH | REGIONAL HMO | $64.23 | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | — |
| HORIZON - JRI@OUMC | MEDICARE ADVANTAGE | $116.00 | — |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $193.00 | — |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $193.00 | — |
| HORIZON - JRI@OUMC | NON-MANAGED | $205.00 | — |
| HORIZON - JRI@OUMC | PIP | $205.00 | — |
| HORIZON - JRI@OUMC | WORKERS COMP | $205.00 | — |
| HORIZON - JRI@OUMC | MANAGED MEDICAID | $205.00 | — |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | — |
| WELLCARE | MANAGED MEDICAID | $224.00 | — |
| QUALCARE | HMO | $257.15 | — |
| QUALCARE | WORKERS COMP | $278.00 | — |
| BERGEN RISK | ALL PRODUCTS | $291.00 | — |
| UNITED HEALTHCARE | HMO | $353.00 | — |
| OXFORD | ALL PRODUCTS | $414.00 | — |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $500.00 | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Pt application of modality >=1 area hot/cold packs at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $26.40 | $9.57 – $9.57 |
| Childrens Specialized Hospital | Mountainside | $45.50 | $237.00 – $394.00 |
| Trinitas Regional Medical Center | Elizabeth | not published | $66.00 – $170.00 |
| Cooperman Barnabas Medical Center | Livingston | not published | $66.00 – $357.00 |
| Community Medical Center | Toms River | not published | $66.00 – $392.00 |
| Clara Maass Medical Center | Belleville | not published | $37.00 – $170.00 |
| Newark Beth Israel Medical Center | Newark | not published | $66.00 – $357.00 |
| Jersey City Medical Center | Jersey City | not published | $66.00 – $291.00 |