Vital capacity test at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$170.99
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.
$264.00
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.
$37.49 with AETNA vs $623.00 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 | $37.49 | ↓ -78% |
| KARNA | MEDICARE ADVANTAGE | $43.31 | ↓ -75% |
| CLOVER | MEDICARE ADVANTAGE | $47.52 | ↓ -72% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $51.22 | ↓ -70% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $155.50 | ↓ -9% |
| VACCN | ALL PRODUCTS | $156.46 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $156.46 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $156.46 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $156.46 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $156.46 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $156.46 | ↓ -8% |
| HORIZON | MANAGED MEDICAID | $157.03 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $164.28 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $170.99 | ↑ +0% |
| HORIZON | OMNIA | $171.97 | ↑ +1% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $175.00 | ↑ +2% |
| INTERGROUP | WORKERS COMP | $175.00 | ↑ +2% |
| INTERGROUP | SHARED SAVINGS | $175.00 | ↑ +2% |
| HORIZON | WORKERS COMP | $189.24 | ↑ +11% |
| BERGEN RISK | ALL PRODUCTS | $198.00 | ↑ +16% |
| PRIME HEALTH | WORKERS COMP | $200.00 | ↑ +17% |
| PRIME HEALTH | AUTO INSURANCE | $200.00 | ↑ +17% |
| HORIZON | PIP | $204.07 | ↑ +19% |
| QUALCARE | HMO | $205.13 | ↑ +20% |
| QUALCARE | PPO | $205.13 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $205.19 | ↑ +20% |
| HORIZON | SHP | $205.84 | ↑ +20% |
| AETNA | ASA | $206.71 | ↑ +21% |
| HORIZON | HMO | $212.39 | ↑ +24% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $212.50 | ↑ +24% |
| HORIZON | INDEMNITY | $214.90 | ↑ +26% |
| HORIZON | PPO | $217.96 | ↑ +27% |
| AETNA | PPO | $224.18 | ↑ +31% |
| AETNA | HMO | $224.18 | ↑ +31% |
| AMERIHEALTH | LOCAL HMO | $226.83 | ↑ +33% |
| QUALCARE | WORKERS COMP | $232.32 | ↑ +36% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $237.60 | ↑ +39% |
| CIGNA | PPO | $240.65 | ↑ +41% |
| CIGNA | HMO | $240.65 | ↑ +41% |
| AMERIHEALTH | REGIONAL HMO | $256.92 | ↑ +50% |
| OXFORD | ALL PRODUCTS | $389.00 | ↑ +127% |
| UNITED HEALTHCARE | HMO | $623.00 | ↑ +264% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Vital capacity test at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $76.20 | $3.74 – $341.98 |
| Cooperman Barnabas Medical Center | Livingston | $83.91 | $107.90 – $351.08 |
| Community Medical Center | Toms River | $84.20 | $110.50 – $340.27 |
| Clara Maass Medical Center | Belleville | $51.71 | $106.60 – $349.32 |
| Childrens Specialized Hospital | Mountainside | $110.00 | $394.00 – $394.00 |
| Newark Beth Israel Medical Center | Newark | $82.48 | $3.85 – $351.08 |
| Jersey City Medical Center | Jersey City | $84.36 | $4.84 – $366.68 |
| Monmouth Medical Center | Long Branch | $88.83 | $173.18 – $344.63 |