Sbrt w/positron emission del at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$4,098.85
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.
$19,250.00
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.
$293.00 with HORIZON BCBS BRAVEN vs $18,408.78 with CIGNA — 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 | $293.00 | ↓ -93% |
| HORIZON | HMO | $509.00 | ↓ -88% |
| HORIZON | WORKERS COMP | $526.00 | ↓ -87% |
| OXFORD | ALL PRODUCTS | $2,630.00 | ↓ -36% |
| UNITED HEALTHCARE | HMO | $2,682.00 | ↓ -35% |
| AETNA | MANAGED MEDICAID | $2,733.50 | ↓ -33% |
| CLOVER | MEDICARE ADVANTAGE | $3,465.00 | ↓ -15% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,734.50 | ↓ -9% |
| WELLCARE | MANAGED MEDICAID | $3,750.50 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $3,750.50 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $3,750.50 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $3,750.50 | ↓ -8% |
| VACCN | ALL PRODUCTS | $3,750.50 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,938.03 | ↓ -4% |
| AMERIGROUP | MEDICARE ADVANTAGE | $4,196.50 | ↑ +2% |
| UNITED HEALTHCARE | DSNP | $4,918.62 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $5,599.83 | ↑ +37% |
| AMERIHEALTH | REGIONAL HMO | $6,125.35 | ↑ +49% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $6,533.45 | ↑ +59% |
| CIGNA - JRI@OUMC | ALL PRODUCTS | $9,625.00 | ↑ +135% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,202.50 | ↑ +149% |
| HORIZON | INDEMNITY | $11,723.25 | ↑ +186% |
| HORIZON | PPO | $11,723.25 | ↑ +186% |
| HORIZON | SHP | $11,723.25 | ↑ +186% |
| HORIZON | OMNIA | $11,723.25 | ↑ +186% |
| HORIZON | PIP | $11,723.25 | ↑ +186% |
| BRIGHTON HEALTH PLAN - JRI@OUMC | ALL PRODUCTS | $12,512.50 | ↑ +205% |
| AETNA | PPO | $13,451.90 | ↑ +228% |
| AETNA | HMO | $13,451.90 | ↑ +228% |
| INTERGROUP | SHARED SAVINGS | $13,475.00 | ↑ +229% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $13,475.00 | ↑ +229% |
| INTERGROUP | WORKERS COMP | $13,475.00 | ↑ +229% |
| BERGEN RISK | ALL PRODUCTS | $14,437.50 | ↑ +252% |
| QUALCARE | PPO | $14,957.25 | ↑ +265% |
| QUALCARE | HMO | $14,957.25 | ↑ +265% |
| AETNA | ASA | $15,072.75 | ↑ +268% |
| PRIME HEALTH | AUTO INSURANCE | $15,400.00 | ↑ +276% |
| PRIME HEALTH | WORKERS COMP | $15,400.00 | ↑ +276% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $16,362.50 | ↑ +299% |
| QUALCARE | WORKERS COMP | $16,940.00 | ↑ +313% |
| CIGNA | PPO | $18,408.78 | ↑ +349% |
| CIGNA | HMO | $18,408.78 | ↑ +349% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Sbrt w/positron emission del at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $4,151.28 | $2,774.00 – $4,524.89 |
| Hackensack University Medical Center | Hackensack | $4,416.81 | $3,015.00 – $4,637.65 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $4,154.88 | $293.00 – $4,154.88 |
| Jersey Shore University Medical Center | Neptune City | $4,151.28 | $2,789.00 – $4,524.89 |
| Palisades Medical Center | North Bergen | $4,416.81 | $2,755.00 – $4,814.33 |
| Raritan Bay Medical Center | Perth Amboy | $4,154.88 | $2,746.00 – $4,528.82 |
| Riverview Medical Center | Red Bank | $4,151.28 | $2,678.00 – $4,524.89 |
| Southern Ocean Medical Center | Manahawkin | $4,098.85 | $2,703.00 – $4,467.74 |