Pt re-evaluation patient/family at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$86.04
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.
$325.00
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.
$40.61 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 | $40.61 | ↓ -53% |
| CLOVER | MEDICARE ADVANTAGE | $51.48 | ↓ -40% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $55.48 | ↓ -36% |
| HORIZON | MANAGED MEDICAID | $60.00 | ↓ -30% |
| AMERIGROUP | MEDICARE ADVANTAGE | $70.85 | ↓ -18% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $80.00 | ↓ -7% |
| AETNA | MEDICARE ADVANTAGE | $86.04 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $86.04 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $86.04 | ↑ +0% |
| VACCN | ALL PRODUCTS | $86.04 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $90.34 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $103.25 | ↑ +20% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | ↑ +21% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $110.31 | ↑ +28% |
| KARNA | MEDICARE ADVANTAGE | $115.67 | ↑ +34% |
| HORIZON - JRI@OUMC | MEDICARE ADVANTAGE | $116.00 | ↑ +35% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $162.50 | ↑ +89% |
| HORIZON | HMO | $181.00 | ↑ +110% |
| HORIZON | OMNIA | $186.30 | ↑ +117% |
| HORIZON | WORKERS COMP | $188.00 | ↑ +119% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $193.00 | ↑ +124% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $193.00 | ↑ +124% |
| HORIZON | PIP | $197.93 | ↑ +130% |
| HORIZON | PPO | $197.93 | ↑ +130% |
| HORIZON | SHP | $197.93 | ↑ +130% |
| HORIZON | INDEMNITY | $197.93 | ↑ +130% |
| HORIZON - JRI@OUMC | NON-MANAGED | $205.00 | ↑ +138% |
| HORIZON - JRI@OUMC | WORKERS COMP | $205.00 | ↑ +138% |
| HORIZON - JRI@OUMC | MANAGED MEDICAID | $205.00 | ↑ +138% |
| HORIZON - JRI@OUMC | PIP | $205.00 | ↑ +138% |
| AETNA | PPO | $208.01 | ↑ +142% |
| AETNA | HMO | $208.01 | ↑ +142% |
| QUALCARE | PPO | $222.22 | ↑ +158% |
| AETNA | ASA | $223.94 | ↑ +160% |
| WELLCARE | MEDICARE ADVANTAGE | $224.00 | ↑ +160% |
| WELLCARE | MANAGED MEDICAID | $224.00 | ↑ +160% |
| INTERGROUP | SHARED SAVINGS | $227.50 | ↑ +164% |
| INTERGROUP | WORKERS COMP | $227.50 | ↑ +164% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $243.10 | ↑ +183% |
| AMERIHEALTH | LOCAL HMO | $245.73 | ↑ +186% |
| QUALCARE | HMO | $257.15 | ↑ +199% |
| PRIME HEALTH | WORKERS COMP | $260.00 | ↑ +202% |
| PRIME HEALTH | AUTO INSURANCE | $260.00 | ↑ +202% |
| CIGNA | PPO | $273.50 | ↑ +218% |
| CIGNA | HMO | $273.50 | ↑ +218% |
| QUALCARE | WORKERS COMP | $278.00 | ↑ +223% |
| AMERIHEALTH | REGIONAL HMO | $278.34 | ↑ +224% |
| BERGEN RISK | ALL PRODUCTS | $291.00 | ↑ +238% |
| UNITED HEALTHCARE | HMO | $353.00 | ↑ +310% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $355.00 | ↑ +313% |
| OXFORD | ALL PRODUCTS | $414.00 | ↑ +381% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $500.00 | ↑ +481% |
Visitor-reported prices
Comments
Pt re-evaluation patient/family at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Saint Barnabas Behavioral Health Center | Toms River | $76.26 | not published |
| Childrens Specialized Hospital | Mountainside | $283.50 | $237.00 – $394.00 |
| Bayshore Medical Center | Holmdel | $86.04 | $86.04 – $447.00 |
| Hackensack University Medical Center | Hackensack | $86.04 | $54.05 – $406.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $86.04 | $60.00 – $523.00 |
| Jersey Shore University Medical Center | Neptune City | $86.04 | $68.83 – $561.00 |
| Palisades Medical Center | North Bergen | $86.04 | $86.04 – $558.00 |
| Raritan Bay Medical Center | Perth Amboy | $86.04 | $86.04 – $471.00 |