Unlistd noninvas vasc dx std at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$26.76
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.
$252.00
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.
$24.49 with AMERIGROUP vs $10,671.00 with HORIZON — 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 |
|---|---|---|---|
| AMERIGROUP | MEDICARE ADVANTAGE | $24.49 | ↓ -8% |
| VACCN | ALL PRODUCTS | $24.49 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $24.49 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $24.49 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $24.49 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $24.49 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $25.71 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $26.76 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $32.12 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $35.78 | ↑ +34% |
| CLOVER | MEDICARE ADVANTAGE | $45.36 | ↑ +70% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $48.89 | ↑ +83% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $148.43 | ↑ +455% |
| HORIZON | OMNIA | $164.15 | ↑ +513% |
| OXFORD | ALL PRODUCTS | $165.72 | ↑ +519% |
| UNITED HEALTHCARE | HMO | $173.68 | ↑ +549% |
| INTERGROUP | SHARED SAVINGS | $176.40 | ↑ +559% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $176.40 | ↑ +559% |
| INTERGROUP | WORKERS COMP | $176.40 | ↑ +559% |
| BERGEN RISK | ALL PRODUCTS | $189.00 | ↑ +606% |
| HORIZON | PIP | $194.80 | ↑ +628% |
| QUALCARE | PPO | $195.80 | ↑ +632% |
| HORIZON | SHP | $196.48 | ↑ +634% |
| AETNA | ASA | $197.32 | ↑ +637% |
| PRIME HEALTH | AUTO INSURANCE | $201.60 | ↑ +653% |
| PRIME HEALTH | WORKERS COMP | $201.60 | ↑ +653% |
| HORIZON | HMO | $202.73 | ↑ +658% |
| HORIZON | INDEMNITY | $205.13 | ↑ +667% |
| HORIZON | PPO | $208.05 | ↑ +677% |
| AETNA | PPO | $213.80 | ↑ +699% |
| AETNA | HMO | $213.80 | ↑ +699% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $214.20 | ↑ +700% |
| AMERIHEALTH | LOCAL HMO | $216.52 | ↑ +709% |
| QUALCARE | WORKERS COMP | $221.76 | ↑ +729% |
| CIGNA | PPO | $228.03 | ↑ +752% |
| CIGNA | HMO | $228.03 | ↑ +752% |
| AMERIHEALTH | REGIONAL HMO | $245.25 | ↑ +816% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↑ +5786% |
| QUALCARE | HMO | $6,256.00 | ↑ +23278% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +37019% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +39777% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Unlistd noninvas vasc dx std at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $27.11 | $27.11 – $32.53 |
| Hackensack University Medical Center | Hackensack | $28.84 | $23.07 – $34.43 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $27.13 | $24.49 – $27.13 |
| Jersey Shore University Medical Center | Neptune City | $27.11 | $27.11 – $32.53 |
| Palisades Medical Center | North Bergen | $28.84 | $28.84 – $31.44 |
| Raritan Bay Medical Center | Perth Amboy | $27.13 | $27.13 – $32.56 |
| Riverview Medical Center | Red Bank | $27.11 | $27.11 – $32.53 |
| Southern Ocean Medical Center | Manahawkin | $26.76 | $26.76 – $32.12 |