Resect thigh/knee 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.
$5,537.00
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.
$786.25 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 | $786.25 | ↓ -75% |
| CLOVER | MEDICARE ADVANTAGE | $996.66 | ↓ -68% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,074.18 | ↓ -66% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -62% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↓ -50% |
| KARNA | MEDICARE ADVANTAGE | $2,164.48 | ↓ -31% |
| VACCN | ALL PRODUCTS | $2,862.05 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $2,862.05 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $2,862.05 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $2,862.05 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $2,862.05 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $2,862.05 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,005.15 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,127.88 | ↑ +0% |
| HORIZON | OMNIA | $3,606.80 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $3,753.45 | ↑ +20% |
| INTERGROUP | WORKERS COMP | $3,875.90 | ↑ +24% |
| INTERGROUP | SHARED SAVINGS | $3,875.90 | ↑ +24% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,875.90 | ↑ +24% |
| BERGEN RISK | ALL PRODUCTS | $4,152.75 | ↑ +33% |
| HORIZON | PIP | $4,280.10 | ↑ +37% |
| QUALCARE | PPO | $4,302.25 | ↑ +38% |
| HORIZON | SHP | $4,317.20 | ↑ +38% |
| AETNA | ASA | $4,335.47 | ↑ +39% |
| CIGNA | HMO | $4,414.00 | ↑ +41% |
| PRIME HEALTH | AUTO INSURANCE | $4,429.60 | ↑ +42% |
| PRIME HEALTH | WORKERS COMP | $4,429.60 | ↑ +42% |
| HORIZON | HMO | $4,454.52 | ↑ +42% |
| HORIZON | INDEMNITY | $4,507.12 | ↑ +44% |
| HORIZON | PPO | $4,571.35 | ↑ +46% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,706.45 | ↑ +50% |
| AMERIHEALTH | LOCAL HMO | $4,757.39 | ↑ +52% |
| QUALCARE | WORKERS COMP | $4,872.56 | ↑ +56% |
| CIGNA | PPO | $4,945.00 | ↑ +58% |
| AMERIHEALTH | REGIONAL HMO | $5,388.61 | ↑ +72% |
| OXFORD | ALL PRODUCTS | $6,137.00 | ↑ +96% |
| QUALCARE | HMO | $6,256.00 | ↑ +100% |
| UNITED HEALTHCARE | HMO | $7,714.00 | ↑ +147% |
| AETNA | HMO | $8,419.00 | ↑ +169% |
| AETNA | PPO | $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 thigh/knee tum < 5 cm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $532.53 – $6,255.76 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $691.99 – $6,421.98 |
| Community Medical Center | Toms River | $3,786.00 | $708.66 – $6,224.48 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $683.65 – $6,389.87 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $548.19 – $6,421.98 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $689.16 – $6,707.33 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,367.30 – $6,304.10 |
| Bayshore Medical Center | Holmdel | $3,167.89 | $3,167.89 – $3,801.47 |