Unlisted transfusion med px 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.
$1,239.00
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.
$20.28 with UNITED HEALTHCARE vs $661.78 with AMERIHEALTH — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $20.28 | ↓ -24% |
| VACCN | ALL PRODUCTS | $24.49 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $24.49 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $24.49 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $24.49 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $24.49 | ↓ -8% |
| HORIZON | 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% |
| UNITED HEALTHCARE | HMO | $50.64 | ↑ +89% |
| OXFORD | ALL PRODUCTS | $50.64 | ↑ +89% |
| HORIZON | MANAGED MEDICAID | $68.00 | ↑ +154% |
| AETNA | MANAGED MEDICAID | $96.56 | ↑ +261% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $131.92 | ↑ +393% |
| CLOVER | MEDICARE ADVANTAGE | $223.02 | ↑ +733% |
| QUALCARE | HMO | $337.28 | ↑ +1160% |
| HORIZON | OMNIA | $442.95 | ↑ +1555% |
| AETNA | PPO | $467.84 | ↑ +1648% |
| AETNA | HMO | $467.84 | ↑ +1648% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $476.00 | ↑ +1679% |
| INTERGROUP | SHARED SAVINGS | $476.00 | ↑ +1679% |
| INTERGROUP | WORKERS COMP | $476.00 | ↑ +1679% |
| HORIZON | WORKERS COMP | $487.42 | ↑ +1721% |
| BERGEN RISK | ALL PRODUCTS | $510.00 | ↑ +1806% |
| HORIZON | PIP | $525.64 | ↑ +1864% |
| QUALCARE | PPO | $525.64 | ↑ +1864% |
| QUALCARE | WORKERS COMP | $525.64 | ↑ +1864% |
| HORIZON | SHP | $530.20 | ↑ +1881% |
| AETNA | ASA | $532.44 | ↑ +1890% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $544.00 | ↑ +1933% |
| PRIME HEALTH | AUTO INSURANCE | $544.00 | ↑ +1933% |
| PRIME HEALTH | WORKERS COMP | $544.00 | ↑ +1933% |
| HORIZON | HMO | $547.06 | ↑ +1944% |
| HORIZON | INDEMNITY | $553.52 | ↑ +1968% |
| HORIZON | PPO | $561.41 | ↑ +1998% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $578.00 | ↑ +2060% |
| AMERIHEALTH | LOCAL HMO | $584.26 | ↑ +2083% |
| CIGNA | HMO | $650.28 | ↑ +2330% |
| CIGNA | PPO | $650.28 | ↑ +2330% |
| AMERIHEALTH | REGIONAL HMO | $661.78 | ↑ +2373% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted transfusion med px at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $159.13 | $11.73 – $54.96 |
| Clara Maass Medical Center | Belleville | $149.37 | $11.73 – $54.69 |
| Newark Beth Israel Medical Center | Newark | $156.43 | $11.73 – $54.96 |
| Jersey City Medical Center | Jersey City | $156.05 | $11.73 – $57.39 |
| Bayshore Medical Center | Holmdel | $27.11 | $20.28 – $50.64 |
| Hackensack University Medical Center | Hackensack | $28.84 | $23.07 – $56.98 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $27.13 | $24.49 – $53.78 |
| Jersey Shore University Medical Center | Neptune City | $27.11 | $20.28 – $55.14 |