Small bowel endoscopy at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$2,073.18
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.
$7,676.00
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.
$308.33 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 | $308.33 | ↓ -85% |
| AETNA | MANAGED MEDICAID | $1,089.99 | ↓ -47% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -43% |
| CLOVER | MEDICARE ADVANTAGE | $1,381.68 | ↓ -33% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,489.14 | ↓ -28% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↓ -24% |
| AMERIGROUP | MEDICARE ADVANTAGE | $1,896.99 | ↓ -8% |
| VACCN | ALL PRODUCTS | $1,896.99 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $1,896.99 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $1,896.99 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $1,896.99 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $1,896.99 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,991.84 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,073.18 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $2,487.82 | ↑ +20% |
| CIGNA | HMO | $4,414.00 | ↑ +113% |
| CIGNA | PPO | $4,945.00 | ↑ +139% |
| HORIZON | OMNIA | $5,000.15 | ↑ +141% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $5,373.20 | ↑ +159% |
| INTERGROUP | SHARED SAVINGS | $5,373.20 | ↑ +159% |
| INTERGROUP | WORKERS COMP | $5,373.20 | ↑ +159% |
| BERGEN RISK | ALL PRODUCTS | $5,757.00 | ↑ +178% |
| HORIZON | PIP | $5,933.55 | ↑ +186% |
| QUALCARE | PPO | $5,964.25 | ↑ +188% |
| HORIZON | SHP | $5,984.98 | ↑ +189% |
| AETNA | ASA | $6,010.31 | ↑ +190% |
| OXFORD | ALL PRODUCTS | $6,137.00 | ↑ +196% |
| PRIME HEALTH | AUTO INSURANCE | $6,140.80 | ↑ +196% |
| PRIME HEALTH | WORKERS COMP | $6,140.80 | ↑ +196% |
| HORIZON | HMO | $6,175.34 | ↑ +198% |
| HORIZON | INDEMNITY | $6,248.26 | ↑ +201% |
| QUALCARE | HMO | $6,256.00 | ↑ +202% |
| HORIZON | PPO | $6,337.31 | ↑ +206% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,524.60 | ↑ +215% |
| AMERIHEALTH | LOCAL HMO | $6,595.22 | ↑ +218% |
| QUALCARE | WORKERS COMP | $6,754.88 | ↑ +226% |
| AMERIHEALTH | REGIONAL HMO | $7,470.28 | ↑ +260% |
| UNITED HEALTHCARE | HMO | $7,714.00 | ↑ +272% |
| AETNA | PPO | $8,419.00 | ↑ +306% |
| AETNA | HMO | $8,419.00 | ↑ +306% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +379% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +415% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Small bowel endoscopy at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $75.86 – $4,146.36 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $146.40 – $4,256.54 |
| Community Medical Center | Toms River | $3,786.00 | $149.92 – $4,125.63 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $144.63 – $4,235.26 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $78.09 – $4,256.54 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $98.17 – $4,445.68 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $289.26 – $4,178.40 |
| Bayshore Medical Center | Holmdel | $2,099.70 | $2,099.70 – $2,519.64 |