Quant diff pulm perf and vent w/imaging at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$588.26
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.
?
What you pay up front if you don't use insurance.
$2,708.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$376.16 with AETNA vs $2,384.10 with BRIGHTON HEALTH PLAN — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $376.16 | ↓ -36% |
| CLOVER | MEDICARE ADVANTAGE | $476.82 | ↓ -19% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $490.01 | ↓ -17% |
| KARNA | MEDICARE ADVANTAGE | $509.06 | ↓ -13% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $513.91 | ↓ -13% |
| HORIZON | MANAGED MEDICAID | $515.87 | ↓ -12% |
| HORIZON | MEDICARE ADVANTAGE | $538.27 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $538.27 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $538.27 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $538.27 | ↓ -8% |
| VACCN | ALL PRODUCTS | $538.27 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $538.27 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $565.18 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $588.26 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $705.92 | ↑ +20% |
| AETNA | HMO | $774.81 | ↑ +32% |
| AETNA | PPO | $774.81 | ↑ +32% |
| CIGNA | PPO | $959.94 | ↑ +63% |
| CIGNA | HMO | $959.94 | ↑ +63% |
| AMERIHEALTH | LOCAL HMO | $1,017.42 | ↑ +73% |
| AMERIHEALTH | REGIONAL HMO | $1,035.02 | ↑ +76% |
| OXFORD | ALL PRODUCTS | $1,325.05 | ↑ +125% |
| UNITED HEALTHCARE | HMO | $1,325.05 | ↑ +125% |
| HORIZON | OMNIA | $1,725.56 | ↑ +193% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,895.60 | ↑ +222% |
| INTERGROUP | SHARED SAVINGS | $1,895.60 | ↑ +222% |
| INTERGROUP | WORKERS COMP | $1,895.60 | ↑ +222% |
| HORIZON | WORKERS COMP | $1,898.80 | ↑ +223% |
| BERGEN RISK | ALL PRODUCTS | $1,986.75 | ↑ +238% |
| HORIZON | PIP | $2,047.68 | ↑ +248% |
| QUALCARE | PPO | $2,058.27 | ↑ +250% |
| QUALCARE | HMO | $2,058.27 | ↑ +250% |
| HORIZON | SHP | $2,065.43 | ↑ +251% |
| AETNA | ASA | $2,074.17 | ↑ +253% |
| QUALCARE | WORKERS COMP | $2,093.28 | ↑ +256% |
| HORIZON | HMO | $2,131.12 | ↑ +262% |
| HORIZON | INDEMNITY | $2,156.29 | ↑ +267% |
| PRIME HEALTH | WORKERS COMP | $2,166.40 | ↑ +268% |
| PRIME HEALTH | AUTO INSURANCE | $2,166.40 | ↑ +268% |
| HORIZON | PPO | $2,187.01 | ↑ +272% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,251.65 | ↑ +283% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,384.10 | ↑ +305% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Quant diff pulm perf and vent w/imaging at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $505.66 | $144.02 – $1,235.64 |
| Cooperman Barnabas Medical Center | Livingston | $536.95 | $221.15 – $1,235.64 |
| Community Medical Center | Toms River | $558.73 | $221.15 – $1,235.64 |
| Clara Maass Medical Center | Belleville | $267.32 | $221.15 – $1,235.64 |
| Newark Beth Israel Medical Center | Newark | $527.83 | $148.26 – $1,235.64 |
| Jersey City Medical Center | Jersey City | $559.81 | $186.38 – $1,261.46 |
| Monmouth Medical Center | Long Branch | $589.44 | $221.15 – $1,235.64 |
| Bayshore Medical Center | Holmdel | $595.79 | $490.01 – $1,325.05 |