Reconstruction of nail bed at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$1,999.13
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.
$4,400.00
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.
$368.00 with QUALCARE vs $3,872.00 with QUALCARE — 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 |
|---|---|---|---|
| QUALCARE | HMO | $368.00 | ↓ -82% |
| KARNA | MEDICARE ADVANTAGE | $387.17 | ↓ -81% |
| AETNA | MANAGED MEDICAID | $624.80 | ↓ -69% |
| CLOVER | MEDICARE ADVANTAGE | $792.00 | ↓ -60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $853.60 | ↓ -57% |
| VACCN | ALL PRODUCTS | $1,829.23 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $1,829.23 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $1,829.23 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,829.23 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $1,829.23 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $1,829.23 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,920.69 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,999.13 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $2,398.95 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $2,893.44 | ↑ +45% |
| UNITED HEALTHCARE | HMO | $3,032.48 | ↑ +52% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,080.00 | ↑ +54% |
| INTERGROUP | SHARED SAVINGS | $3,080.00 | ↑ +54% |
| INTERGROUP | WORKERS COMP | $3,080.00 | ↑ +54% |
| HORIZON | WORKERS COMP | $3,349.00 | ↑ +68% |
| HORIZON | PIP | $3,401.20 | ↑ +70% |
| QUALCARE | PPO | $3,418.80 | ↑ +71% |
| AETNA | ASA | $3,445.20 | ↑ +72% |
| PRIME HEALTH | AUTO INSURANCE | $3,520.00 | ↑ +76% |
| PRIME HEALTH | WORKERS COMP | $3,520.00 | ↑ +76% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,740.00 | ↑ +87% |
| QUALCARE | WORKERS COMP | $3,872.00 | ↑ +94% |
| HORIZON | PPO | not published by hospital | — |
| AETNA | HMO | not published by hospital | — |
| AETNA | PPO | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| AMERIHEALTH | LOCAL HMO | not published by hospital | — |
| AMERIHEALTH | REGIONAL HMO | not published by hospital | — |
| BERGEN RISK | ALL PRODUCTS | not published by hospital | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
| HORIZON | HMO | not published by hospital | — |
| HORIZON | INDEMNITY | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | OMNIA | not published by hospital | — |
| HORIZON | SHP | not published by hospital | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Reconstruction of nail bed at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $148.78 – $3,998.26 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $170.27 – $4,104.50 |
| Community Medical Center | Toms River | $3,786.00 | $174.37 – $3,978.27 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $168.21 – $4,083.98 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $153.15 – $4,104.50 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $184.63 – $4,286.88 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $336.43 – $4,029.15 |
| Bayshore Medical Center | Holmdel | $2,024.70 | $368.00 – $2,429.64 |