Unlisted px arthroscopy at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$262.16
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.
$5,893.00
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.
$239.88 with AMERIGROUP vs $15,984.00 with BRIGHTON HEALTH PLAN — 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 | $239.88 | ↓ -8% |
| VACCN | ALL PRODUCTS | $239.88 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $239.88 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $239.88 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $239.88 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $239.88 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $251.87 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $262.16 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $314.59 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $836.81 | ↑ +219% |
| CLOVER | MEDICARE ADVANTAGE | $1,060.74 | ↑ +305% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,143.24 | ↑ +336% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +354% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↑ +501% |
| OXFORD | ALL PRODUCTS | $2,810.00 | ↑ +972% |
| UNITED HEALTHCARE | HMO | $3,454.00 | ↑ +1218% |
| HORIZON | OMNIA | $3,838.70 | ↑ +1364% |
| INTERGROUP | SHARED SAVINGS | $4,125.10 | ↑ +1474% |
| INTERGROUP | WORKERS COMP | $4,125.10 | ↑ +1474% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,125.10 | ↑ +1474% |
| BERGEN RISK | ALL PRODUCTS | $4,419.75 | ↑ +1586% |
| HORIZON | PIP | $4,555.29 | ↑ +1638% |
| QUALCARE | PPO | $4,578.86 | ↑ +1647% |
| HORIZON | SHP | $4,594.77 | ↑ +1653% |
| AETNA | ASA | $4,614.22 | ↑ +1660% |
| PRIME HEALTH | AUTO INSURANCE | $4,714.40 | ↑ +1698% |
| PRIME HEALTH | WORKERS COMP | $4,714.40 | ↑ +1698% |
| HORIZON | HMO | $4,740.92 | ↑ +1708% |
| HORIZON | INDEMNITY | $4,796.90 | ↑ +1730% |
| HORIZON | PPO | $4,865.26 | ↑ +1756% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,009.05 | ↑ +1811% |
| AMERIHEALTH | LOCAL HMO | $5,063.27 | ↑ +1831% |
| QUALCARE | WORKERS COMP | $5,185.84 | ↑ +1878% |
| CIGNA | HMO | $5,297.22 | ↑ +1921% |
| CIGNA | PPO | $5,297.22 | ↑ +1921% |
| AMERIHEALTH | REGIONAL HMO | $5,735.07 | ↑ +2088% |
| QUALCARE | HMO | $6,256.00 | ↑ +2286% |
| AETNA | PPO | $8,419.00 | ↑ +3111% |
| AETNA | HMO | $8,419.00 | ↑ +3111% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +3970% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,984.00 | ↑ +5997% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted px arthroscopy at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $262.16 – $3,195.47 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $269.13 – $538.26 |
| Community Medical Center | Toms River | $3,786.00 | $262.16 – $521.70 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $269.13 – $535.57 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $269.13 – $538.26 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $282.50 – $562.18 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $265.51 – $528.36 |
| Bayshore Medical Center | Holmdel | $265.51 | $265.51 – $15,984.00 |