Vaccine pneumonococcal conjugate 20 valent (pcv20) im at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
not published by hospital
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.
$1,226.27
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.
$212.33 with CLOVER vs $1,061.67 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $212.33 | — |
| AETNA | MEDICARE ADVANTAGE | $240.64 | — |
| HORIZON | MANAGED MEDICAID | $265.97 | — |
| AMERIHEALTH | LOCAL HMO | $343.15 | — |
| AMERIHEALTH | REGIONAL HMO | $375.36 | — |
| KARNA | MEDICARE ADVANTAGE | $375.98 | — |
| WELLCARE | MEDICARE ADVANTAGE | $530.83 | — |
| WELLCARE | MANAGED MEDICAID | $530.83 | — |
| QUALCARE | HMO | $552.07 | — |
| OXFORD | ALL PRODUCTS | $568.53 | — |
| UNITED HEALTHCARE | HMO | $568.53 | — |
| AETNA | MANAGED MEDICAID | $578.02 | — |
| CIGNA | HMO | $583.92 | — |
| CIGNA | PPO | $583.92 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $589.82 | — |
| AMERIGROUP | MANAGED MEDICAID | $589.82 | — |
| QUALCARE | PPO | $607.51 | — |
| QUALCARE | WORKERS COMP | $607.51 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $694.80 | — |
| BERGEN RISK | ALL PRODUCTS | $707.78 | — |
| AETNA | HMO | $719.57 | — |
| AETNA | PPO | $719.57 | — |
| HORIZON | OMNIA | $768.41 | — |
| HORIZON | WORKERS COMP | $845.56 | — |
| HORIZON | PIP | $911.85 | — |
| HORIZON | SHP | $919.76 | — |
| AETNA | ASA | $923.65 | — |
| HORIZON | HMO | $949.01 | — |
| HORIZON | INDEMNITY | $960.22 | — |
| HORIZON | PPO | $973.90 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,002.69 | — |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,002.69 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,061.67 | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine pneumonococcal conjugate 20 valent (pcv20) im at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $263.93 | $278.48 – $1,818.04 |
| Cooperman Barnabas Medical Center | Livingston | $114.60 | $278.48 – $366.59 |
| Community Medical Center | Toms River | $112.16 | $278.48 – $357.65 |
| Clara Maass Medical Center | Belleville | $107.57 | $278.48 – $366.59 |
| Newark Beth Israel Medical Center | Newark | $112.65 | $278.48 – $366.59 |
| Jersey City Medical Center | Jersey City | $112.38 | $278.48 – $363.49 |
| Monmouth Medical Center | Long Branch | $118.33 | $278.48 – $366.59 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $124.09 | $278.48 – $357.65 |