Rmvl icd gen w/rplc icd gen dual lead sys at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$24,530.99
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.
$51,396.00
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 $133,120.00 with OXFORD — 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 | ↓ -100% |
| HORIZON | HMO | $181.00 | ↓ -99% |
| HORIZON | WORKERS COMP | $188.00 | ↓ -99% |
| KARNA | MEDICARE ADVANTAGE | $786.03 | ↓ -97% |
| AETNA | MANAGED MEDICAID | $7,298.23 | ↓ -70% |
| CLOVER | MEDICARE ADVANTAGE | $9,251.28 | ↓ -62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $9,970.82 | ↓ -59% |
| AMERIGROUP | MEDICARE ADVANTAGE | $11,204.33 | ↓ -54% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $17,443.80 | ↓ -29% |
| WELLCARE | MANAGED MEDICAID | $22,446.19 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $22,446.19 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $22,446.19 | ↓ -8% |
| VACCN | ALL PRODUCTS | $22,446.19 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $22,446.19 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $23,568.50 | ↓ -4% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $25,698.00 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $29,437.19 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $30,570.34 | ↑ +25% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $30,837.60 | ↑ +26% |
| HORIZON | OMNIA | $31,300.16 | ↑ +28% |
| HORIZON | SHP | $31,300.16 | ↑ +28% |
| HORIZON | PPO | $31,300.16 | ↑ +28% |
| HORIZON | INDEMNITY | $31,300.16 | ↑ +28% |
| HORIZON | PIP | $31,300.16 | ↑ +28% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $33,407.40 | ↑ +36% |
| UNITED HEALTHCARE | HMO | $35,422.12 | ↑ +44% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $35,977.20 | ↑ +47% |
| INTERGROUP | WORKERS COMP | $35,977.20 | ↑ +47% |
| INTERGROUP | SHARED SAVINGS | $35,977.20 | ↑ +47% |
| BERGEN RISK | ALL PRODUCTS | $38,547.00 | ↑ +57% |
| QUALCARE | PPO | $39,934.69 | ↑ +63% |
| QUALCARE | HMO | $39,934.69 | ↑ +63% |
| AETNA | ASA | $40,243.07 | ↑ +64% |
| PRIME HEALTH | AUTO INSURANCE | $41,116.80 | ↑ +68% |
| PRIME HEALTH | WORKERS COMP | $41,116.80 | ↑ +68% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $43,686.60 | ↑ +78% |
| AMERIHEALTH | LOCAL HMO | $44,159.44 | ↑ +80% |
| QUALCARE | WORKERS COMP | $45,228.48 | ↑ +84% |
| AETNA | HMO | $46,086.79 | ↑ +88% |
| AETNA | PPO | $46,086.79 | ↑ +88% |
| CIGNA | PPO | $49,149.99 | ↑ +100% |
| CIGNA | HMO | $49,149.99 | ↑ +100% |
| AMERIHEALTH | REGIONAL HMO | $50,018.59 | ↑ +104% |
| OXFORD | ALL PRODUCTS | $133,120.00 | ↑ +443% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen dual lead sys at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $193.39 – $49,061.98 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $25,182.83 – $50,365.66 |
| Community Medical Center | Toms River | $3,786.00 | $24,530.99 – $48,816.67 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $25,182.83 – $50,113.83 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $199.08 – $50,365.66 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $250.27 – $52,603.62 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $24,844.79 – $49,441.13 |
| Bayshore Medical Center | Holmdel | $24,844.79 | $24,844.79 – $29,813.75 |