healthcosts.net
Upper Endoscopy (EGD, diagnostic) at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$1,024.64
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.
?
What you pay up front if you don't use insurance.
$4,476.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$249.63 with KARNA vs $10,671.00 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $249.63 | ↓ -76% |
| AETNA | MANAGED MEDICAID | $635.59 | ↓ -38% |
| CLOVER | MEDICARE ADVANTAGE | $805.68 | ↓ -21% |
| HORIZON | MANAGED MEDICAID | $848.00 | ↓ -17% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $868.34 | ↓ -15% |
| AMERIGROUP | MEDICARE ADVANTAGE | $937.56 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $937.56 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $937.56 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $937.56 | ↓ -8% |
| VACCN | ALL PRODUCTS | $937.56 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $937.56 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $984.44 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,024.64 | ↑ +0% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $1,229.57 | ↑ +20% |
| CIGNA | HMO | $2,248.00 | ↑ +119% |
| CIGNA | PPO | $2,519.00 | ↑ +146% |
| HORIZON | OMNIA | $2,915.67 | ↑ +185% |
| INTERGROUP | SHARED SAVINGS | $3,133.20 | ↑ +206% |
| INTERGROUP | WORKERS COMP | $3,133.20 | ↑ +206% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,133.20 | ↑ +206% |
| BERGEN RISK | ALL PRODUCTS | $3,357.00 | ↑ +228% |
| HORIZON | PIP | $3,459.95 | ↑ +238% |
| QUALCARE | PPO | $3,477.85 | ↑ +239% |
| HORIZON | SHP | $3,489.94 | ↑ +241% |
| AETNA | ASA | $3,504.71 | ↑ +242% |
| PRIME HEALTH | WORKERS COMP | $3,580.80 | ↑ +249% |
| PRIME HEALTH | AUTO INSURANCE | $3,580.80 | ↑ +249% |
| HORIZON | HMO | $3,600.94 | ↑ +251% |
| HORIZON | INDEMNITY | $3,643.46 | ↑ +256% |
| AETNA | PPO | $3,662.00 | ↑ +257% |
| AETNA | HMO | $3,662.00 | ↑ +257% |
| HORIZON | PPO | $3,695.39 | ↑ +261% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,804.60 | ↑ +271% |
| AMERIHEALTH | LOCAL HMO | $3,845.78 | ↑ +275% |
| QUALCARE | WORKERS COMP | $3,938.88 | ↑ +284% |
| AMERIHEALTH | REGIONAL HMO | $4,356.04 | ↑ +325% |
| OXFORD | ALL PRODUCTS | $6,137.00 | ↑ +499% |
| QUALCARE | HMO | $6,256.00 | ↑ +511% |
| UNITED HEALTHCARE | HMO | $7,714.00 | ↑ +653% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +869% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +941% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Upper Endoscopy (EGD, diagnostic) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,037.75 | $734.06 – $3,845.78 |
| Hackensack University Medical Center | Hackensack | $1,104.13 | $257.43 – $4,028.40 |