Tomosynthesis breast screen bilateral at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$65.52
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.
$264.00
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.
$19.89 with AMERIHEALTH vs $211.20 with PRIME HEALTH — 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 |
|---|---|---|---|
| AMERIHEALTH | LOCAL HMO | $19.89 | ↓ -70% |
| AMERIHEALTH | REGIONAL HMO | $20.23 | ↓ -69% |
| AETNA | MANAGED MEDICAID | $31.52 | ↓ -52% |
| CLOVER | MEDICARE ADVANTAGE | $39.96 | ↓ -39% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $43.07 | ↓ -34% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $47.76 | ↓ -27% |
| HORIZON | MANAGED MEDICAID | $50.29 | ↓ -23% |
| VACCN | ALL PRODUCTS | $65.52 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $65.52 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $65.52 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $65.52 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $65.52 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $65.52 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $65.52 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $68.80 | ↑ +5% |
| UNITED HEALTHCARE | HMO | $68.96 | ↑ +5% |
| OXFORD | ALL PRODUCTS | $68.96 | ↑ +5% |
| AETNA | PPO | $70.84 | ↑ +8% |
| AETNA | HMO | $70.84 | ↑ +8% |
| UNITED HEALTHCARE | DSNP | $78.62 | ↑ +20% |
| CIGNA | PPO | $90.13 | ↑ +38% |
| CIGNA | HMO | $90.13 | ↑ +38% |
| KARNA | MEDICARE ADVANTAGE | $94.53 | ↑ +44% |
| HORIZON | OMNIA | $144.61 | ↑ +121% |
| HORIZON | WORKERS COMP | $159.13 | ↑ +143% |
| BERGEN RISK | ALL PRODUCTS | $166.50 | ↑ +154% |
| HORIZON | PIP | $171.61 | ↑ +162% |
| QUALCARE | PPO | $172.49 | ↑ +163% |
| QUALCARE | HMO | $172.49 | ↑ +163% |
| HORIZON | SHP | $173.09 | ↑ +164% |
| AETNA | ASA | $173.83 | ↑ +165% |
| HORIZON | HMO | $178.60 | ↑ +173% |
| HORIZON | INDEMNITY | $180.71 | ↑ +176% |
| HORIZON | PPO | $183.28 | ↑ +180% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $184.80 | ↑ +182% |
| INTERGROUP | WORKERS COMP | $184.80 | ↑ +182% |
| INTERGROUP | SHARED SAVINGS | $184.80 | ↑ +182% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $188.70 | ↑ +188% |
| QUALCARE | WORKERS COMP | $195.36 | ↑ +198% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $199.80 | ↑ +205% |
| PRIME HEALTH | WORKERS COMP | $211.20 | ↑ +222% |
| PRIME HEALTH | AUTO INSURANCE | $211.20 | ↑ +222% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Tomosynthesis breast screen bilateral at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $52.18 | $18.87 – $651.60 |
| Community Medical Center | Toms River | $57.65 | $13.99 – $125.06 |
| Newark Beth Israel Medical Center | Newark | $57.90 | $13.99 – $125.06 |
| Jersey City Medical Center | Jersey City | $57.76 | $13.99 – $125.06 |
| Monmouth Medical Center | Long Branch | $60.82 | $13.99 – $125.06 |
| Bayshore Medical Center | Holmdel | $65.52 | $19.89 – $90.13 |
| Hackensack University Medical Center | Hackensack | $65.52 | $19.94 – $98.65 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $65.52 | $17.79 – $98.65 |