healthcosts.net
Total Knee Replacement at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$14,061.89
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.
$17,531.00
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.
$1,575.00 with HORIZON vs $27,369.00 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↓ -89% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -83% |
| AETNA | MANAGED MEDICAID | $2,489.40 | ↓ -82% |
| KARNA | MEDICARE ADVANTAGE | $2,660.24 | ↓ -81% |
| AETNA | MEDICARE ADVANTAGE | $2,988.65 | ↓ -79% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,119.22 | ↓ -78% |
| CLOVER | MEDICARE ADVANTAGE | $3,155.58 | ↓ -78% |
| QUALCARE | HMO | $6,256.00 | ↓ -56% |
| HORIZON | OMNIA | $7,014.00 | ↓ -50% |
| HORIZON | SHP | $8,000.00 | ↓ -43% |
| AETNA | PPO | $8,419.00 | ↓ -40% |
| AETNA | HMO | $8,419.00 | ↓ -40% |
| HORIZON | HMO | $8,659.00 | ↓ -38% |
| HORIZON | INDEMNITY | $8,750.00 | ↓ -38% |
| HORIZON | PPO | $8,885.00 | ↓ -37% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↓ -29% |
| INTERGROUP | SHARED SAVINGS | $10,155.60 | ↓ -28% |
| INTERGROUP | WORKERS COMP | $10,155.60 | ↓ -28% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $10,155.60 | ↓ -28% |
| QUALCARE | PPO | $10,231.00 | ↓ -27% |
| HORIZON | WORKERS COMP | $10,671.00 | ↓ -24% |
| AETNA | ASA | $10,692.00 | ↓ -24% |
| QUALCARE | WORKERS COMP | $10,822.00 | ↓ -23% |
| BERGEN RISK | ALL PRODUCTS | $10,881.00 | ↓ -23% |
| PRIME HEALTH | WORKERS COMP | $11,606.40 | ↓ -17% |
| PRIME HEALTH | AUTO INSURANCE | $11,606.40 | ↓ -17% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $12,331.80 | ↓ -12% |
| AMERIGROUP | MEDICARE ADVANTAGE | $12,866.82 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $12,866.82 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $12,866.82 | ↓ -8% |
| VACCN | ALL PRODUCTS | $12,866.82 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $12,866.82 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $13,510.16 | ↓ -4% |
| HORIZON | PIP | $13,551.46 | ↓ -4% |
| AMERIHEALTH | LOCAL HMO | $13,972.00 | ↓ -1% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $14,061.89 | ↑ +0% |
| AMERIHEALTH | REGIONAL HMO | $15,795.00 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $16,874.27 | ↑ +20% |
| CIGNA | PPO | $18,435.00 | ↑ +31% |
| CIGNA | HMO | $18,435.00 | ↑ +31% |
| OXFORD | ALL PRODUCTS | $21,490.00 | ↑ +53% |
| BRIGHTON HEALTH PLAN | PNO | $22,177.73 | ↑ +58% |
| UNITED HEALTHCARE | HMO | $27,369.00 | ↑ +95% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Total Knee Replacement at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $14,241.77 | $2,875.08 – $17,090.12 |
| Hackensack University Medical Center | Hackensack | $15,152.74 | $2,611.44 – $15,910.38 |