Repos lv lead pm/icd at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$3,439.84
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.
$7,635.00
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.
$104.00 with HORIZON BCBS BRAVEN vs $7,430.38 with AMERIHEALTH — 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 |
|---|---|---|---|
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | ↓ -97% |
| HORIZON | HMO | $181.00 | ↓ -95% |
| HORIZON | WORKERS COMP | $188.00 | ↓ -95% |
| KARNA | MEDICARE ADVANTAGE | $982.80 | ↓ -71% |
| AETNA | MANAGED MEDICAID | $1,084.17 | ↓ -68% |
| CLOVER | MEDICARE ADVANTAGE | $1,374.30 | ↓ -60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,481.19 | ↓ -57% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,664.43 | ↓ -52% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,591.32 | ↓ -25% |
| WELLCARE | MANAGED MEDICAID | $3,147.50 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $3,147.50 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $3,147.50 | ↓ -8% |
| VACCN | ALL PRODUCTS | $3,147.50 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $3,147.50 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,304.88 | ↓ -4% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $3,817.50 | ↑ +11% |
| UNITED HEALTHCARE | DSNP | $4,127.81 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $4,541.30 | ↑ +32% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $4,581.00 | ↑ +33% |
| HORIZON | SHP | $4,649.72 | ↑ +35% |
| HORIZON | INDEMNITY | $4,649.72 | ↑ +35% |
| HORIZON | PPO | $4,649.72 | ↑ +35% |
| HORIZON | OMNIA | $4,649.72 | ↑ +35% |
| HORIZON | PIP | $4,649.72 | ↑ +35% |
| OXFORD | ALL PRODUCTS | $4,938.32 | ↑ +44% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $4,962.75 | ↑ +44% |
| UNITED HEALTHCARE | HMO | $5,262.04 | ↑ +53% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $5,344.50 | ↑ +55% |
| INTERGROUP | WORKERS COMP | $5,344.50 | ↑ +55% |
| INTERGROUP | SHARED SAVINGS | $5,344.50 | ↑ +55% |
| BERGEN RISK | ALL PRODUCTS | $5,726.25 | ↑ +66% |
| QUALCARE | PPO | $5,932.40 | ↑ +72% |
| QUALCARE | HMO | $5,932.40 | ↑ +72% |
| AETNA | ASA | $5,978.21 | ↑ +74% |
| PRIME HEALTH | AUTO INSURANCE | $6,108.00 | ↑ +78% |
| PRIME HEALTH | WORKERS COMP | $6,108.00 | ↑ +78% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,489.75 | ↑ +89% |
| AMERIHEALTH | LOCAL HMO | $6,559.99 | ↑ +91% |
| QUALCARE | WORKERS COMP | $6,718.80 | ↑ +95% |
| AETNA | HMO | $6,846.30 | ↑ +99% |
| AETNA | PPO | $6,846.30 | ↑ +99% |
| CIGNA | PPO | $7,301.35 | ↑ +112% |
| CIGNA | HMO | $7,301.35 | ↑ +112% |
| AMERIHEALTH | REGIONAL HMO | $7,430.38 | ↑ +116% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Repos lv lead pm/icd at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $241.80 – $6,879.68 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $469.78 – $7,062.48 |
| Community Medical Center | Toms River | $3,786.00 | $481.10 – $6,845.28 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $464.12 – $7,027.17 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $248.91 – $7,062.48 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $312.92 – $7,376.29 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $928.24 – $6,932.84 |
| Bayshore Medical Center | Holmdel | $3,483.84 | $3,483.84 – $4,180.61 |