Vein x-ray spleen/liver at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$3,439.84
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.
$5,102.00
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.
$724.48 with AETNA vs $7,747.94 with UNITED HEALTHCARE — 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 | $724.48 | ↓ -79% |
| CLOVER | MEDICARE ADVANTAGE | $918.36 | ↓ -73% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $943.10 | ↓ -73% |
| HORIZON | MANAGED MEDICAID | $971.93 | ↓ -72% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $989.79 | ↓ -71% |
| KARNA | MEDICARE ADVANTAGE | $1,365.79 | ↓ -60% |
| QUALCARE | HMO | $2,530.59 | ↓ -26% |
| OXFORD | ALL PRODUCTS | $2,760.18 | ↓ -20% |
| WELLCARE | MEDICARE ADVANTAGE | $3,147.50 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $3,147.50 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $3,147.50 | ↓ -8% |
| VACCN | ALL PRODUCTS | $3,147.50 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $3,147.50 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $3,147.50 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,304.88 | ↓ -4% |
| HORIZON | OMNIA | $3,323.44 | ↓ -3% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,439.84 | ↑ +0% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,571.40 | ↑ +4% |
| INTERGROUP | SHARED SAVINGS | $3,571.40 | ↑ +4% |
| INTERGROUP | WORKERS COMP | $3,571.40 | ↑ +4% |
| HORIZON | WORKERS COMP | $3,657.11 | ↑ +6% |
| BERGEN RISK | ALL PRODUCTS | $3,826.50 | ↑ +11% |
| HORIZON | PIP | $3,943.85 | ↑ +15% |
| QUALCARE | PPO | $3,943.85 | ↑ +15% |
| QUALCARE | WORKERS COMP | $3,943.85 | ↑ +15% |
| HORIZON | SHP | $3,978.03 | ↑ +16% |
| AETNA | ASA | $3,994.87 | ↑ +16% |
| PRIME HEALTH | WORKERS COMP | $4,081.60 | ↑ +19% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $4,081.60 | ↑ +19% |
| PRIME HEALTH | AUTO INSURANCE | $4,081.60 | ↑ +19% |
| HORIZON | HMO | $4,104.56 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $4,127.81 | ↑ +20% |
| HORIZON | INDEMNITY | $4,153.03 | ↑ +21% |
| HORIZON | PPO | $4,212.21 | ↑ +22% |
| AETNA | PPO | $4,285.68 | ↑ +25% |
| AETNA | HMO | $4,285.68 | ↑ +25% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,336.70 | ↑ +26% |
| AMERIHEALTH | LOCAL HMO | $4,383.64 | ↑ +27% |
| CIGNA | HMO | $4,879.04 | ↑ +42% |
| CIGNA | PPO | $4,879.04 | ↑ +42% |
| AMERIHEALTH | REGIONAL HMO | $4,965.27 | ↑ +44% |
| UNITED HEALTHCARE | HMO | $7,747.94 | ↑ +125% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Vein x-ray spleen/liver at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,544.77 | $63.75 – $6,879.68 |
| Bayshore Medical Center | Holmdel | $3,483.84 | $943.10 – $7,747.94 |
| Hackensack University Medical Center | Hackensack | $3,706.68 | $92.92 – $8,849.68 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,486.86 | $1,394.62 – $8,205.81 |
| Jersey Shore University Medical Center | Neptune City | $3,483.84 | $943.10 – $3,797.39 |
| Palisades Medical Center | North Bergen | $3,706.68 | $102.50 – $7,747.94 |
| Raritan Bay Medical Center | Perth Amboy | $3,486.86 | $140.63 – $7,747.94 |
| Riverview Medical Center | Red Bank | $3,483.84 | $87.50 – $7,747.94 |