Tc-99m pentetate dtpa at Ocean University Medical Center

425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126

Source: hospital's published price file ↗ · Published Dec 31, 2025 · Ingested Aug 13, 2026

not published by hospital

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$377.03

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.01 with AETNA vs $191.70 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 →

Payer
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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
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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 PPO $0.01
AETNA ASA $0.01
AETNA HMO $0.01
AETNA MANAGED MEDICAID $30.25
CLOVER MEDICARE ADVANTAGE $38.34
KARNA MEDICARE ADVANTAGE $38.89
HORIZON MANAGED MEDICAID $40.58
SEOUL MEDICAL GROUP ALL PRODUCTS $41.32
AETNA MEDICARE ADVANTAGE $43.45
CIGNA HMO $67.10
CIGNA PPO $67.10
AMERIHEALTH LOCAL HMO $85.69
OXFORD - JRI@OUMC ALL PRODUCTS $107.14
UNITED HEALTHCARE HMO $115.23
OXFORD ALL PRODUCTS $115.23
UNITED HEALTHCARE - JRI@OUMC ALL PRODUCTS $119.07
AMERIHEALTH REGIONAL HMO $119.97
UNITED HEALTHCARE MANAGED MEDICAID $125.46
HORIZON OMNIA $138.75
INTERGROUP SHARED SAVINGS $149.10
INTERGROUP WORKERS COMP $149.10
ACTIVECARE FIRST MCO ALL PRODUCTS $149.10
HORIZON WORKERS COMP $152.68
BERGEN RISK ALL PRODUCTS $159.75
HORIZON PIP $164.65
QUALCARE PPO $165.50
QUALCARE HMO $165.50
HORIZON SHP $166.08
WELLCARE MEDICARE ADVANTAGE $169.66
WELLCARE MANAGED MEDICAID $169.66
PRIME HEALTH WORKERS COMP $170.40
PRIME HEALTH AUTO INSURANCE $170.40
HORIZON HMO $171.36
HORIZON INDEMNITY $173.38
HORIZON PPO $175.85
MULTIPLAN - PHCS ALL PRODUCTS $181.05
QUALCARE WORKERS COMP $187.44
AMERIGROUP MANAGED MEDICAID $188.52
BRIGHTON HEALTH PLAN ALL PRODUCTS $191.70
HORIZON BCBS BRAVEN MEDICARE ADVANTAGE not published by hospital
UNITED COMMUNITY/AMERICHOICE MEDICARE ADVANTAGE not published by hospital
VACCN ALL PRODUCTS not published by hospital
UNITED HEALTHCARE DSNP not published by hospital

Visitor-reported prices

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Tc-99m pentetate dtpa at other New-jersey hospitals

Hospital City Cash price Negotiated range
Trinitas Regional Medical Center Elizabeth not published $0.34 – $229.36
Cooperman Barnabas Medical Center Livingston not published $0.34 – $26.49
Community Medical Center Toms River not published $0.34 – $26.49
Clara Maass Medical Center Belleville not published $0.34 – $26.49
Newark Beth Israel Medical Center Newark not published $0.34 – $26.49
Jersey City Medical Center Jersey City not published $0.34 – $26.49
Monmouth Medical Center Long Branch not published $0.34 – $26.49
Bayshore Medical Center Holmdel not published not published

All New-jersey hospitals for this procedure →