Unlisted maxlfcl prosth px at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$253.79
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.
$318.00
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.
$45.16 with AETNA 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $45.16 | ↓ -82% |
| CLOVER | MEDICARE ADVANTAGE | $57.24 | ↓ -77% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $61.69 | ↓ -76% |
| HORIZON | OMNIA | $207.15 | ↓ -18% |
| INTERGROUP | WORKERS COMP | $222.60 | ↓ -12% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $222.60 | ↓ -12% |
| INTERGROUP | SHARED SAVINGS | $222.60 | ↓ -12% |
| WELLCARE | MANAGED MEDICAID | $232.22 | ↓ -8% |
| VACCN | ALL PRODUCTS | $232.22 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $232.22 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $232.22 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $232.22 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $232.22 | ↓ -8% |
| BERGEN RISK | ALL PRODUCTS | $238.50 | ↓ -6% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $243.83 | ↓ -4% |
| HORIZON | PIP | $245.81 | ↓ -3% |
| QUALCARE | PPO | $247.09 | ↓ -3% |
| HORIZON | SHP | $247.94 | ↓ -2% |
| AETNA | ASA | $248.99 | ↓ -2% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $253.79 | ↑ +0% |
| PRIME HEALTH | WORKERS COMP | $254.40 | ↑ +0% |
| PRIME HEALTH | AUTO INSURANCE | $254.40 | ↑ +0% |
| HORIZON | HMO | $255.83 | ↑ +1% |
| HORIZON | INDEMNITY | $258.85 | ↑ +2% |
| HORIZON | PPO | $262.54 | ↑ +3% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $270.30 | ↑ +7% |
| AMERIHEALTH | LOCAL HMO | $273.23 | ↑ +8% |
| QUALCARE | WORKERS COMP | $279.84 | ↑ +10% |
| CIGNA | HMO | $285.85 | ↑ +13% |
| CIGNA | PPO | $285.85 | ↑ +13% |
| UNITED HEALTHCARE | DSNP | $304.55 | ↑ +20% |
| AMERIHEALTH | REGIONAL HMO | $309.48 | ↑ +22% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +368% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↑ +521% |
| OXFORD | ALL PRODUCTS | $2,810.00 | ↑ +1007% |
| UNITED HEALTHCARE | HMO | $3,454.00 | ↑ +1261% |
| QUALCARE | HMO | $6,256.00 | ↑ +2365% |
| AETNA | HMO | $8,419.00 | ↑ +3217% |
| AETNA | PPO | $8,419.00 | ↑ +3217% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +3814% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +4105% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted maxlfcl prosth px at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $253.79 – $507.58 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $260.53 – $521.06 |
| Community Medical Center | Toms River | $3,786.00 | $253.79 – $505.04 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $260.53 – $518.45 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $260.53 – $521.06 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $273.48 – $544.23 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $257.04 – $511.51 |
| Bayshore Medical Center | Holmdel | $257.04 | $257.04 – $308.44 |