Ther/proph/diag inj ia at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$230.26
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.
$410.00
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.
$31.53 with KARNA vs $954.00 with UNITED HEALTHCARE — 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 | $31.53 | ↓ -86% |
| AETNA | MANAGED MEDICAID | $58.22 | ↓ -75% |
| CLOVER | MEDICARE ADVANTAGE | $73.80 | ↓ -68% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $79.54 | ↓ -65% |
| WELLCARE | MEDICARE ADVANTAGE | $184.50 | ↓ -20% |
| WELLCARE | MANAGED MEDICAID | $210.69 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $210.69 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $210.69 | ↓ -8% |
| VACCN | ALL PRODUCTS | $210.69 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $210.69 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $221.22 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $230.26 | ↑ +0% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $241.49 | ↑ +5% |
| HORIZON | MANAGED MEDICAID | $243.87 | ↑ +6% |
| HORIZON | OMNIA | $267.07 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $276.31 | ↑ +20% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $287.00 | ↑ +25% |
| INTERGROUP | SHARED SAVINGS | $287.00 | ↑ +25% |
| INTERGROUP | WORKERS COMP | $287.00 | ↑ +25% |
| HORIZON | WORKERS COMP | $293.89 | ↑ +28% |
| BERGEN RISK | ALL PRODUCTS | $307.50 | ↑ +34% |
| HORIZON | PIP | $316.93 | ↑ +38% |
| QUALCARE | PPO | $318.57 | ↑ +38% |
| QUALCARE | HMO | $318.57 | ↑ +38% |
| HORIZON | SHP | $319.68 | ↑ +39% |
| AETNA | ASA | $321.03 | ↑ +39% |
| PRIME HEALTH | AUTO INSURANCE | $328.00 | ↑ +42% |
| PRIME HEALTH | WORKERS COMP | $328.00 | ↑ +42% |
| HORIZON | HMO | $329.85 | ↑ +43% |
| HORIZON | INDEMNITY | $333.74 | ↑ +45% |
| HORIZON | PPO | $338.50 | ↑ +47% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $348.50 | ↑ +51% |
| AMERIHEALTH | LOCAL HMO | $352.27 | ↑ +53% |
| QUALCARE | WORKERS COMP | $360.80 | ↑ +57% |
| AETNA | HMO | $367.65 | ↑ +60% |
| AETNA | PPO | $367.65 | ↑ +60% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $369.00 | ↑ +60% |
| CIGNA | PPO | $392.08 | ↑ +70% |
| CIGNA | HMO | $392.08 | ↑ +70% |
| AMERIHEALTH | REGIONAL HMO | $399.01 | ↑ +73% |
| OXFORD | ALL PRODUCTS | $613.00 | ↑ +166% |
| UNITED HEALTHCARE | HMO | $954.00 | ↑ +314% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ther/proph/diag inj ia at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $78.27 | $9.65 – $460.52 |
| Cooperman Barnabas Medical Center | Livingston | $121.84 | $9.70 – $472.76 |
| Community Medical Center | Toms River | $86.48 | $9.70 – $458.22 |
| Clara Maass Medical Center | Belleville | $66.03 | $9.70 – $470.40 |
| Newark Beth Israel Medical Center | Newark | $119.77 | $9.70 – $472.76 |
| Jersey City Medical Center | Jersey City | $86.65 | $9.70 – $493.76 |
| Monmouth Medical Center | Long Branch | $91.23 | $9.70 – $464.07 |
| Bayshore Medical Center | Holmdel | $233.20 | $233.20 – $875.00 |