Puncture spinal lumbar diagnostic at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$756.84
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.
$2,849.00
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.
$129.82 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 | $129.82 | ↓ -83% |
| AETNA | MANAGED MEDICAID | $274.63 | ↓ -64% |
| CLOVER | MEDICARE ADVANTAGE | $348.12 | ↓ -54% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $375.20 | ↓ -50% |
| AMERIGROUP | MEDICARE ADVANTAGE | $692.52 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $692.52 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $692.52 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $692.52 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $692.52 | ↓ -8% |
| VACCN | ALL PRODUCTS | $692.52 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $727.15 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $756.84 | ↑ +0% |
| HORIZON | MANAGED MEDICAID | $848.00 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $908.21 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +57% |
| HORIZON | OMNIA | $1,259.81 | ↑ +66% |
| BERGEN RISK | ALL PRODUCTS | $1,450.50 | ↑ +92% |
| HORIZON | PIP | $1,494.98 | ↑ +98% |
| QUALCARE | PPO | $1,502.72 | ↑ +99% |
| HORIZON | SHP | $1,507.94 | ↑ +99% |
| AETNA | ASA | $1,514.32 | ↑ +100% |
| HORIZON | HMO | $1,555.90 | ↑ +106% |
| HORIZON | INDEMNITY | $1,574.28 | ↑ +108% |
| HORIZON | PPO | $1,596.71 | ↑ +111% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,643.90 | ↑ +117% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,643.90 | ↑ +117% |
| AMERIHEALTH | LOCAL HMO | $1,661.69 | ↑ +120% |
| QUALCARE | WORKERS COMP | $1,701.92 | ↑ +125% |
| AMERIHEALTH | REGIONAL HMO | $1,882.17 | ↑ +149% |
| INTERGROUP | SHARED SAVINGS | $1,994.30 | ↑ +164% |
| INTERGROUP | WORKERS COMP | $1,994.30 | ↑ +164% |
| CIGNA | HMO | $2,248.00 | ↑ +197% |
| PRIME HEALTH | WORKERS COMP | $2,279.20 | ↑ +201% |
| PRIME HEALTH | AUTO INSURANCE | $2,279.20 | ↑ +201% |
| CIGNA | PPO | $2,519.00 | ↑ +233% |
| AETNA | HMO | $4,025.00 | ↑ +432% |
| AETNA | PPO | $4,025.00 | ↑ +432% |
| OXFORD | ALL PRODUCTS | $4,090.00 | ↑ +440% |
| UNITED HEALTHCARE | HMO | $5,092.00 | ↑ +573% |
| QUALCARE | HMO | $6,256.00 | ↑ +727% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1212% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +1310% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Puncture spinal lumbar diagnostic at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $75.63 – $1,513.68 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $66.42 – $1,553.90 |
| Community Medical Center | Toms River | $3,786.00 | $66.42 – $1,506.11 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $66.42 – $1,546.13 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $66.42 – $1,553.90 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $66.42 – $1,622.94 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $66.42 – $1,525.37 |
| Bayshore Medical Center | Holmdel | $766.52 | $766.52 – $919.83 |