Sm-153 lexidron ther at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$4,314.91
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.
$31,600.80
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.
$3,314.28 with AETNA vs $21,006.00 with BRIGHTON HEALTH PLAN — 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 | $3,314.28 | ↓ -23% |
| CLOVER | MEDICARE ADVANTAGE | $4,201.20 | ↓ -3% |
| VACCN | ALL PRODUCTS | $4,314.91 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,314.91 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $4,314.91 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $4,314.91 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $4,314.91 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4,314.91 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $4,314.91 | ↑ +0% |
| HORIZON | MANAGED MEDICAID | $4,446.27 | ↑ +3% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $4,527.96 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,530.66 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $5,177.89 | ↑ +20% |
| CIGNA | HMO | $7,352.10 | ↑ +70% |
| CIGNA | PPO | $7,352.10 | ↑ +70% |
| AMERIHEALTH | LOCAL HMO | $9,192.67 | ↑ +113% |
| AMERIHEALTH | REGIONAL HMO | $10,055.37 | ↑ +133% |
| OXFORD - JRI@OUMC | ALL PRODUCTS | $11,740.02 | ↑ +172% |
| UNITED HEALTHCARE | HMO | $12,626.94 | ↑ +193% |
| OXFORD | ALL PRODUCTS | $12,626.94 | ↑ +193% |
| UNITED HEALTHCARE - JRI@OUMC | ALL PRODUCTS | $13,047.06 | ↑ +202% |
| KARNA | MEDICARE ADVANTAGE | $13,082.88 | ↑ +203% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $13,747.26 | ↑ +219% |
| QUALCARE | HMO | $14,789.17 | ↑ +243% |
| HORIZON | OMNIA | $15,203.68 | ↑ +252% |
| AMERIGROUP | MANAGED MEDICAID | $15,800.40 | ↑ +266% |
| QUALCARE | WORKERS COMP | $16,274.41 | ↑ +277% |
| QUALCARE | PPO | $16,274.41 | ↑ +277% |
| INTERGROUP | WORKERS COMP | $16,338.00 | ↑ +279% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $16,338.00 | ↑ +279% |
| INTERGROUP | SHARED SAVINGS | $16,338.00 | ↑ +279% |
| HORIZON | WORKERS COMP | $16,730.11 | ↑ +288% |
| BERGEN RISK | ALL PRODUCTS | $17,505.00 | ↑ +306% |
| HORIZON | PIP | $18,041.82 | ↑ +318% |
| HORIZON | SHP | $18,198.20 | ↑ +322% |
| AETNA | ASA | $18,275.22 | ↑ +324% |
| PRIME HEALTH | WORKERS COMP | $18,672.00 | ↑ +333% |
| PRIME HEALTH | AUTO INSURANCE | $18,672.00 | ↑ +333% |
| HORIZON | HMO | $18,777.03 | ↑ +335% |
| HORIZON | INDEMNITY | $18,998.76 | ↑ +340% |
| HORIZON | PPO | $19,269.50 | ↑ +347% |
| AETNA | PPO | $19,276.49 | ↑ +347% |
| AETNA | HMO | $19,276.49 | ↑ +347% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $19,839.00 | ↑ +360% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $21,006.00 | ↑ +387% |
Visitor-reported prices
Comments
Sm-153 lexidron ther at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $4,314.91 | $4,314.91 – $37,065.53 |
| Hackensack University Medical Center | Hackensack | $4,314.91 | $3,451.93 – $17,259.85 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $4,314.91 | $4,314.91 – $13,359.10 |
| Jersey Shore University Medical Center | Neptune City | $4,314.91 | $4,314.91 – $38,230.57 |
| Palisades Medical Center | North Bergen | $4,314.91 | $4,314.91 – $37,065.53 |
| Raritan Bay Medical Center | Perth Amboy | $4,314.91 | $4,314.91 – $37,065.53 |
| Riverview Medical Center | Red Bank | $4,314.91 | $4,314.91 – $37,065.53 |
| Southern Ocean Medical Center | Manahawkin | $4,314.91 | $4,314.91 – $13,082.88 |