Unlisted fluoroscopic px at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$96.23
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.
$528.00
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.
$52.80 with HORIZON vs $435.92 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $52.80 | ↓ -45% |
| AETNA | MANAGED MEDICAID | $74.98 | ↓ -22% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $79.77 | ↓ -17% |
| AMERIGROUP | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| AETNA | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| WELLCARE | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| WELLCARE | MANAGED MEDICAID | $88.05 | ↓ -9% |
| HORIZON | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| VACCN | ALL PRODUCTS | $88.05 | ↓ -9% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $92.45 | ↓ -4% |
| CLOVER | MEDICARE ADVANTAGE | $95.04 | ↓ -1% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $96.23 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $115.47 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $124.27 | ↑ +29% |
| AMERIHEALTH | LOCAL HMO | $138.72 | ↑ +44% |
| AMERIHEALTH | REGIONAL HMO | $141.12 | ↑ +47% |
| UNITED HEALTHCARE | HMO | $219.04 | ↑ +128% |
| INTERGROUP | WORKERS COMP | $259.70 | ↑ +170% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $259.70 | ↑ +170% |
| INTERGROUP | SHARED SAVINGS | $259.70 | ↑ +170% |
| QUALCARE | HMO | $261.89 | ↑ +172% |
| OXFORD | ALL PRODUCTS | $285.65 | ↑ +197% |
| QUALCARE | PPO | $286.78 | ↑ +198% |
| QUALCARE | WORKERS COMP | $286.78 | ↑ +198% |
| PRIME HEALTH | AUTO INSURANCE | $296.80 | ↑ +208% |
| PRIME HEALTH | WORKERS COMP | $296.80 | ↑ +208% |
| AETNA | ASA | $311.64 | ↑ +224% |
| AETNA | PPO | $311.64 | ↑ +224% |
| AETNA | HMO | $311.64 | ↑ +224% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $315.35 | ↑ +228% |
| HORIZON | OMNIA | $343.94 | ↑ +257% |
| CIGNA | HMO | $357.12 | ↑ +271% |
| CIGNA | PPO | $357.12 | ↑ +271% |
| HORIZON | WORKERS COMP | $378.47 | ↑ +293% |
| BERGEN RISK | ALL PRODUCTS | $396.00 | ↑ +312% |
| HORIZON | PIP | $408.14 | ↑ +324% |
| HORIZON | SHP | $411.68 | ↑ +328% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $422.40 | ↑ +339% |
| HORIZON | HMO | $424.78 | ↑ +341% |
| HORIZON | INDEMNITY | $429.79 | ↑ +347% |
| HORIZON | PPO | $435.92 | ↑ +353% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted fluoroscopic px at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $1,278.62 | $96.23 – $224.53 |
| Bayshore Medical Center | Holmdel | $97.46 | $97.46 – $219.04 |
| Hackensack University Medical Center | Hackensack | $103.69 | $82.95 – $250.18 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $97.54 | $88.05 – $231.98 |
| Jersey Shore University Medical Center | Neptune City | $97.46 | $97.46 – $136.33 |
| Palisades Medical Center | North Bergen | $103.69 | $103.69 – $219.04 |
| Raritan Bay Medical Center | Perth Amboy | $97.54 | $97.54 – $219.04 |
| Riverview Medical Center | Red Bank | $97.46 | $97.46 – $219.04 |