Remove skin nerve lesion 64788 at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$2,134.14
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.
$5,726.00
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.
$813.09 with AETNA 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $813.09 | ↓ -62% |
| KARNA | MEDICARE ADVANTAGE | $863.00 | ↓ -60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $913.75 | ↓ -57% |
| CLOVER | MEDICARE ADVANTAGE | $1,030.68 | ↓ -52% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -44% |
| HORIZON | MANAGED MEDICAID | $1,277.00 | ↓ -40% |
| HORIZON | MEDICARE ADVANTAGE | $1,952.77 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $1,952.77 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $1,952.77 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $1,952.77 | ↓ -8% |
| VACCN | ALL PRODUCTS | $1,952.77 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,952.77 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,050.41 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,134.14 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $2,560.97 | ↑ +20% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,975.00 | ↑ +39% |
| INTERGROUP | WORKERS COMP | $2,975.00 | ↑ +39% |
| INTERGROUP | SHARED SAVINGS | $2,975.00 | ↑ +39% |
| BERGEN RISK | ALL PRODUCTS | $3,187.50 | ↑ +49% |
| PRIME HEALTH | WORKERS COMP | $3,400.00 | ↑ +59% |
| PRIME HEALTH | AUTO INSURANCE | $3,400.00 | ↑ +59% |
| CIGNA | HMO | $3,588.00 | ↑ +68% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,612.50 | ↑ +69% |
| HORIZON | OMNIA | $3,729.92 | ↑ +75% |
| CIGNA | PPO | $3,845.83 | ↑ +80% |
| HORIZON | PIP | $4,426.20 | ↑ +107% |
| QUALCARE | PPO | $4,449.10 | ↑ +108% |
| HORIZON | SHP | $4,464.56 | ↑ +109% |
| AETNA | ASA | $4,483.46 | ↑ +110% |
| HORIZON | HMO | $4,606.57 | ↑ +116% |
| HORIZON | INDEMNITY | $4,660.96 | ↑ +118% |
| HORIZON | PPO | $4,727.39 | ↑ +122% |
| AMERIHEALTH | LOCAL HMO | $4,919.78 | ↑ +131% |
| QUALCARE | WORKERS COMP | $5,038.88 | ↑ +136% |
| AMERIHEALTH | REGIONAL HMO | $5,572.54 | ↑ +161% |
| QUALCARE | HMO | $6,256.00 | ↑ +193% |
| OXFORD | ALL PRODUCTS | $8,183.00 | ↑ +283% |
| AETNA | HMO | $8,419.00 | ↑ +294% |
| AETNA | PPO | $8,419.00 | ↑ +294% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +365% |
| UNITED HEALTHCARE | HMO | $10,334.00 | ↑ +384% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +400% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Remove skin nerve lesion 64788 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $212.33 – $4,268.28 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $241.60 – $4,381.70 |
| Community Medical Center | Toms River | $3,786.00 | $247.42 – $4,246.94 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $238.69 – $4,359.79 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $218.58 – $4,381.70 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $261.97 – $4,576.40 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $477.37 – $4,301.27 |
| Bayshore Medical Center | Holmdel | $2,161.44 | $2,161.44 – $2,593.73 |