Removal w/reinsrt nonbiogrdble at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$436.10
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.
$2,789.00
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.
$0.01 with CIGNA 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 |
|---|---|---|---|
| CIGNA | PPO | $0.01 | ↓ -100% |
| CIGNA | HMO | $0.01 | ↓ -100% |
| KARNA | MEDICARE ADVANTAGE | $210.96 | ↓ -52% |
| AETNA | MANAGED MEDICAID | $396.04 | ↓ -9% |
| AMERIGROUP | MEDICARE ADVANTAGE | $399.04 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $399.04 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $399.04 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $399.04 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $399.04 | ↓ -8% |
| VACCN | ALL PRODUCTS | $399.04 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $418.99 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $436.10 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $502.02 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $523.32 | ↑ +20% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $541.07 | ↑ +24% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +173% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↑ +261% |
| HORIZON | OMNIA | $1,816.75 | ↑ +317% |
| INTERGROUP | SHARED SAVINGS | $1,952.30 | ↑ +348% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,952.30 | ↑ +348% |
| INTERGROUP | WORKERS COMP | $1,952.30 | ↑ +348% |
| BERGEN RISK | ALL PRODUCTS | $2,091.75 | ↑ +380% |
| HORIZON | PIP | $2,155.90 | ↑ +394% |
| QUALCARE | PPO | $2,167.05 | ↑ +397% |
| HORIZON | SHP | $2,174.58 | ↑ +399% |
| AETNA | ASA | $2,183.79 | ↑ +401% |
| PRIME HEALTH | AUTO INSURANCE | $2,231.20 | ↑ +412% |
| PRIME HEALTH | WORKERS COMP | $2,231.20 | ↑ +412% |
| HORIZON | HMO | $2,243.75 | ↑ +415% |
| HORIZON | INDEMNITY | $2,270.25 | ↑ +421% |
| HORIZON | PPO | $2,302.60 | ↑ +428% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,370.65 | ↑ +444% |
| AMERIHEALTH | LOCAL HMO | $2,396.31 | ↑ +449% |
| QUALCARE | WORKERS COMP | $2,454.32 | ↑ +463% |
| AMERIHEALTH | REGIONAL HMO | $2,714.25 | ↑ +522% |
| OXFORD | ALL PRODUCTS | $2,810.00 | ↑ +544% |
| UNITED HEALTHCARE | HMO | $3,454.00 | ↑ +692% |
| QUALCARE | HMO | $6,256.00 | ↑ +1335% |
| AETNA | PPO | $8,419.00 | ↑ +1831% |
| AETNA | HMO | $8,419.00 | ↑ +1831% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +2178% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +2347% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Removal w/reinsrt nonbiogrdble at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $306.00 – $867.84 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $295.20 – $890.90 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $269.72 – $895.38 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $324.00 – $935.16 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $441.68 – $878.94 |
| Bayshore Medical Center | Holmdel | $441.68 | $441.68 – $530.02 |
| Hackensack University Medical Center | Hackensack | $469.93 | $216.39 – $493.43 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $442.06 | $216.39 – $442.06 |