Surgical pathology level 2 gross & microscopic examination at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$42.90
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.
$193.00
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.
$27.41 with AETNA vs $187.83 with AMERIHEALTH — 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 | $27.41 | ↓ -36% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $30.22 | ↓ -30% |
| HORIZON | MANAGED MEDICAID | $36.77 | ↓ -14% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $37.44 | ↓ -13% |
| HORIZON | MEDICARE ADVANTAGE | $39.25 | ↓ -9% |
| WELLCARE | MANAGED MEDICAID | $39.25 | ↓ -9% |
| WELLCARE | MEDICARE ADVANTAGE | $39.25 | ↓ -9% |
| VACCN | ALL PRODUCTS | $39.25 | ↓ -9% |
| AETNA | MEDICARE ADVANTAGE | $39.25 | ↓ -9% |
| AMERIGROUP | MEDICARE ADVANTAGE | $39.25 | ↓ -9% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $41.21 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $42.90 | ↑ +0% |
| UNITED HEALTHCARE | HMO | $50.64 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $51.47 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $61.51 | ↑ +43% |
| QUALCARE | HMO | $95.73 | ↑ +123% |
| OXFORD | ALL PRODUCTS | $104.41 | ↑ +143% |
| HORIZON | OMNIA | $125.72 | ↑ +193% |
| AETNA | HMO | $132.78 | ↑ +210% |
| AETNA | PPO | $132.78 | ↑ +210% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $135.10 | ↑ +215% |
| INTERGROUP | SHARED SAVINGS | $135.10 | ↑ +215% |
| INTERGROUP | WORKERS COMP | $135.10 | ↑ +215% |
| HORIZON | WORKERS COMP | $138.34 | ↑ +222% |
| BERGEN RISK | ALL PRODUCTS | $144.75 | ↑ +237% |
| HORIZON | PIP | $149.19 | ↑ +248% |
| QUALCARE | PPO | $149.19 | ↑ +248% |
| QUALCARE | WORKERS COMP | $149.19 | ↑ +248% |
| HORIZON | SHP | $150.48 | ↑ +251% |
| AETNA | ASA | $151.12 | ↑ +252% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $154.40 | ↑ +260% |
| PRIME HEALTH | AUTO INSURANCE | $154.40 | ↑ +260% |
| PRIME HEALTH | WORKERS COMP | $154.40 | ↑ +260% |
| HORIZON | HMO | $155.27 | ↑ +262% |
| HORIZON | INDEMNITY | $157.10 | ↑ +266% |
| HORIZON | PPO | $159.34 | ↑ +271% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $164.05 | ↑ +282% |
| AMERIHEALTH | LOCAL HMO | $165.83 | ↑ +287% |
| CIGNA | HMO | $184.57 | ↑ +330% |
| CIGNA | PPO | $184.57 | ↑ +330% |
| AMERIHEALTH | REGIONAL HMO | $187.83 | ↑ +338% |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 2 gross & microscopic examination at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $42.79 | $11.73 – $106.65 |
| Cooperman Barnabas Medical Center | Livingston | $68.44 | $11.73 – $106.65 |
| Community Medical Center | Toms River | $47.28 | $11.73 – $106.65 |
| Clara Maass Medical Center | Belleville | $52.90 | $11.73 – $106.65 |
| Newark Beth Israel Medical Center | Newark | $67.28 | $11.73 – $106.65 |
| Jersey City Medical Center | Jersey City | $47.37 | $11.73 – $106.65 |
| Monmouth Medical Center | Long Branch | $49.88 | $11.73 – $106.65 |
| Bayshore Medical Center | Holmdel | $43.44 | $43.44 – $50.64 |