Pt evaluation moderate complexity patient/family at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$126.19
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.
$561.00
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.
$60.00 with HORIZON vs $517.00 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $60.00 | ↓ -52% |
| AETNA | MANAGED MEDICAID | $64.33 | ↓ -49% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $80.00 | ↓ -37% |
| CLOVER | MEDICARE ADVANTAGE | $81.54 | ↓ -35% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $87.88 | ↓ -30% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | ↓ -18% |
| HORIZON - JRI@OUMC | MEDICARE ADVANTAGE | $116.00 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $122.30 | ↓ -3% |
| AMERIGROUP | MANAGED MEDICAID | $126.19 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $126.19 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $126.19 | ↑ +0% |
| VACCN | ALL PRODUCTS | $126.19 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $132.50 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $151.43 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $166.07 | ↑ +32% |
| HORIZON | HMO | $181.00 | ↑ +43% |
| HORIZON | WORKERS COMP | $188.00 | ↑ +49% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $190.40 | ↑ +51% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $193.00 | ↑ +53% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $193.00 | ↑ +53% |
| HORIZON - JRI@OUMC | NON-MANAGED | $205.00 | ↑ +62% |
| HORIZON - JRI@OUMC | WORKERS COMP | $205.00 | ↑ +62% |
| HORIZON - JRI@OUMC | PIP | $205.00 | ↑ +62% |
| HORIZON - JRI@OUMC | MANAGED MEDICAID | $205.00 | ↑ +62% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +78% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +78% |
| QUALCARE | HMO | $257.15 | ↑ +104% |
| QUALCARE | WORKERS COMP | $278.00 | ↑ +120% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $280.50 | ↑ +122% |
| HORIZON | OMNIA | $295.08 | ↑ +134% |
| QUALCARE | PPO | $300.33 | ↑ +138% |
| AETNA | HMO | $329.47 | ↑ +161% |
| AETNA | PPO | $329.47 | ↑ +161% |
| HORIZON | SHP | $341.65 | ↑ +171% |
| HORIZON | PPO | $341.65 | ↑ +171% |
| HORIZON | INDEMNITY | $341.65 | ↑ +171% |
| HORIZON | PIP | $341.65 | ↑ +171% |
| BERGEN RISK | ALL PRODUCTS | $349.00 | ↑ +177% |
| UNITED HEALTHCARE | HMO | $353.00 | ↑ +180% |
| AETNA | ASA | $354.70 | ↑ +181% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $385.05 | ↑ +205% |
| AMERIHEALTH | LOCAL HMO | $389.22 | ↑ +208% |
| INTERGROUP | WORKERS COMP | $392.70 | ↑ +211% |
| INTERGROUP | SHARED SAVINGS | $392.70 | ↑ +211% |
| OXFORD | ALL PRODUCTS | $414.00 | ↑ +228% |
| CIGNA | PPO | $433.20 | ↑ +243% |
| CIGNA | HMO | $433.20 | ↑ +243% |
| AMERIHEALTH | REGIONAL HMO | $440.86 | ↑ +249% |
| PRIME HEALTH | AUTO INSURANCE | $448.80 | ↑ +256% |
| PRIME HEALTH | WORKERS COMP | $448.80 | ↑ +256% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $500.00 | ↑ +296% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $517.00 | ↑ +310% |
Visitor-reported prices
Comments
Pt evaluation moderate complexity patient/family at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Carrier Clinic | Belle Mead | $181.20 | $65.69 – $65.69 |
| Saint Barnabas Behavioral Health Center | Toms River | $76.26 | not published |
| Childrens Specialized Hospital | Mountainside | $340.00 | $237.00 – $394.00 |
| Bayshore Medical Center | Holmdel | $126.19 | $126.19 – $517.00 |
| Hackensack University Medical Center | Hackensack | $126.19 | $54.05 – $406.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $126.19 | $60.00 – $523.00 |
| Jersey Shore University Medical Center | Neptune City | $126.19 | $80.00 – $561.00 |
| Palisades Medical Center | North Bergen | $126.19 | $118.00 – $558.00 |