Resect leg/ankle tum < 5 cm at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$3,127.88
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.
$6,932.00
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.
$984.34 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 | $984.34 | ↓ -69% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -62% |
| CLOVER | MEDICARE ADVANTAGE | $1,247.76 | ↓ -60% |
| HORIZON | MANAGED MEDICAID | $1,277.00 | ↓ -59% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,344.81 | ↓ -57% |
| KARNA | MEDICARE ADVANTAGE | $2,105.08 | ↓ -33% |
| HORIZON | MEDICARE ADVANTAGE | $2,862.05 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $2,862.05 | ↓ -8% |
| VACCN | ALL PRODUCTS | $2,862.05 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $2,862.05 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $2,862.05 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $2,862.05 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,005.15 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,127.88 | ↑ +0% |
| CIGNA | HMO | $3,588.00 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $3,753.45 | ↑ +20% |
| CIGNA | PPO | $4,015.00 | ↑ +28% |
| HORIZON | OMNIA | $4,515.50 | ↑ +44% |
| INTERGROUP | SHARED SAVINGS | $4,852.40 | ↑ +55% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,852.40 | ↑ +55% |
| INTERGROUP | WORKERS COMP | $4,852.40 | ↑ +55% |
| BERGEN RISK | ALL PRODUCTS | $5,199.00 | ↑ +66% |
| HORIZON | PIP | $5,358.44 | ↑ +71% |
| QUALCARE | PPO | $5,386.16 | ↑ +72% |
| HORIZON | SHP | $5,404.88 | ↑ +73% |
| AETNA | ASA | $5,427.76 | ↑ +74% |
| PRIME HEALTH | AUTO INSURANCE | $5,545.60 | ↑ +77% |
| PRIME HEALTH | WORKERS COMP | $5,545.60 | ↑ +77% |
| HORIZON | HMO | $5,576.79 | ↑ +78% |
| HORIZON | INDEMNITY | $5,642.65 | ↑ +80% |
| HORIZON | PPO | $5,723.06 | ↑ +83% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,892.20 | ↑ +88% |
| AMERIHEALTH | LOCAL HMO | $5,955.97 | ↑ +90% |
| QUALCARE | WORKERS COMP | $6,100.16 | ↑ +95% |
| OXFORD | ALL PRODUCTS | $6,137.00 | ↑ +96% |
| QUALCARE | HMO | $6,256.00 | ↑ +100% |
| AMERIHEALTH | REGIONAL HMO | $6,746.22 | ↑ +116% |
| UNITED HEALTHCARE | HMO | $7,714.00 | ↑ +147% |
| AETNA | PPO | $8,419.00 | ↑ +169% |
| AETNA | HMO | $8,419.00 | ↑ +169% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +218% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +241% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Resect leg/ankle tum < 5 cm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $517.92 – $6,255.76 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $653.53 – $6,421.98 |
| Community Medical Center | Toms River | $3,786.00 | $669.27 – $6,224.48 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $645.65 – $6,389.87 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $533.15 – $6,421.98 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $670.24 – $6,707.33 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,291.30 – $6,304.10 |
| Bayshore Medical Center | Holmdel | $3,167.89 | $3,167.89 – $3,801.47 |