Sigmoidoscopy flex decompression 45337 at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$996.39
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.
$2,662.00
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.
$231.74 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $231.74 | ↓ -77% |
| AETNA | MANAGED MEDICAID | $378.00 | ↓ -62% |
| CLOVER | MEDICARE ADVANTAGE | $479.16 | ↓ -52% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $516.43 | ↓ -48% |
| HORIZON | MANAGED MEDICAID | $848.00 | ↓ -15% |
| AMERIGROUP | MEDICARE ADVANTAGE | $911.71 | ↓ -8% |
| VACCN | ALL PRODUCTS | $911.71 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $911.71 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $911.71 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $911.71 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $911.71 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $957.30 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $996.39 | ↑ +0% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $1,195.67 | ↑ +20% |
| HORIZON | OMNIA | $1,734.03 | ↑ +74% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,863.40 | ↑ +87% |
| INTERGROUP | SHARED SAVINGS | $1,863.40 | ↑ +87% |
| INTERGROUP | WORKERS COMP | $1,863.40 | ↑ +87% |
| BERGEN RISK | ALL PRODUCTS | $1,996.50 | ↑ +100% |
| HORIZON | PIP | $2,057.73 | ↑ +107% |
| QUALCARE | PPO | $2,068.37 | ↑ +108% |
| HORIZON | SHP | $2,075.56 | ↑ +108% |
| AETNA | ASA | $2,084.35 | ↑ +109% |
| PRIME HEALTH | AUTO INSURANCE | $2,129.60 | ↑ +114% |
| PRIME HEALTH | WORKERS COMP | $2,129.60 | ↑ +114% |
| HORIZON | HMO | $2,141.58 | ↑ +115% |
| HORIZON | INDEMNITY | $2,166.87 | ↑ +117% |
| HORIZON | PPO | $2,197.75 | ↑ +121% |
| CIGNA | HMO | $2,248.00 | ↑ +126% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,262.70 | ↑ +127% |
| AMERIHEALTH | LOCAL HMO | $2,287.19 | ↑ +130% |
| QUALCARE | WORKERS COMP | $2,342.56 | ↑ +135% |
| CIGNA | PPO | $2,408.84 | ↑ +142% |
| AMERIHEALTH | REGIONAL HMO | $2,590.66 | ↑ +160% |
| OXFORD | ALL PRODUCTS | $6,137.00 | ↑ +516% |
| QUALCARE | HMO | $6,256.00 | ↑ +528% |
| UNITED HEALTHCARE | HMO | $7,714.00 | ↑ +674% |
| AETNA | HMO | $8,419.00 | ↑ +745% |
| AETNA | PPO | $8,419.00 | ↑ +745% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +897% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +971% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Sigmoidoscopy flex decompression 45337 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $57.02 – $1,992.78 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $244.02 – $2,045.74 |
| Community Medical Center | Toms River | $3,786.00 | $249.90 – $1,982.82 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $241.08 – $2,035.51 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $58.70 – $2,045.74 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $73.79 – $2,136.62 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $482.16 – $2,008.19 |
| Bayshore Medical Center | Holmdel | $1,009.14 | $1,009.14 – $1,210.96 |