healthcosts.net
Shoulder MRI (with and without contrast) at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$390.30
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.
$4,827.00
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.
$357.13 with AMERIGROUP vs $4,332.00 with BERGEN RISK — 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 |
|---|---|---|---|
| AMERIGROUP | MEDICARE ADVANTAGE | $357.13 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $357.13 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $357.13 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $357.13 | ↓ -8% |
| VACCN | ALL PRODUCTS | $357.13 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $357.13 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $374.99 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $390.30 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $468.36 | ↑ +20% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $650.00 | ↑ +67% |
| AETNA | MANAGED MEDICAID | $685.43 | ↑ +76% |
| KARNA | MEDICARE ADVANTAGE | $733.12 | ↑ +88% |
| CLOVER | MEDICARE ADVANTAGE | $868.86 | ↑ +123% |
| HORIZON | MANAGED MEDICAID | $882.40 | ↑ +126% |
| UNITED HEALTHCARE | HMO | $895.45 | ↑ +129% |
| OXFORD | ALL PRODUCTS | $895.45 | ↑ +129% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $936.44 | ↑ +140% |
| CIGNA | PPO | $948.59 | ↑ +143% |
| CIGNA | HMO | $948.59 | ↑ +143% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $951.00 | ↑ +144% |
| AETNA | PPO | $1,016.58 | ↑ +160% |
| AETNA | HMO | $1,016.58 | ↑ +160% |
| AMERIHEALTH | LOCAL HMO | $1,531.59 | ↑ +292% |
| AMERIHEALTH | REGIONAL HMO | $1,558.09 | ↑ +299% |
| QUALCARE | HMO | $2,083.00 | ↑ +434% |
| QUALCARE | WORKERS COMP | $2,159.44 | ↑ +453% |
| HORIZON | OMNIA | $3,144.31 | ↑ +706% |
| INTERGROUP | SHARED SAVINGS | $3,242.40 | ↑ +731% |
| INTERGROUP | WORKERS COMP | $3,242.40 | ↑ +731% |
| QUALCARE | PPO | $3,291.00 | ↑ +743% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $3,330.63 | ↑ +753% |
| HORIZON | WORKERS COMP | $3,459.99 | ↑ +786% |
| PRIME HEALTH | WORKERS COMP | $3,705.60 | ↑ +849% |
| PRIME HEALTH | AUTO INSURANCE | $3,705.60 | ↑ +849% |
| HORIZON | PIP | $3,731.27 | ↑ +856% |
| HORIZON | SHP | $3,763.61 | ↑ +864% |
| AETNA | ASA | $3,779.54 | ↑ +868% |
| HORIZON | HMO | $3,883.32 | ↑ +895% |
| HORIZON | INDEMNITY | $3,929.18 | ↑ +907% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,937.20 | ↑ +909% |
| HORIZON | PPO | $3,985.17 | ↑ +921% |
| BERGEN RISK | ALL PRODUCTS | $4,332.00 | ↑ +1010% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Shoulder MRI (with and without contrast) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $395.29 | $395.29 – $4,332.00 |
| Hackensack University Medical Center | Hackensack | $420.58 | $336.46 – $4,332.00 |