X-linked intellectual dblt at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$914.00
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.
$6,600.00
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.
$804.32 with UNITED HEALTHCARE vs $6,423.12 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 | $804.32 | ↓ -12% |
| AMERIGROUP | MANAGED MEDICAID | $914.00 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $914.00 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $914.00 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $914.00 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $914.00 | ↑ +0% |
| VACCN | ALL PRODUCTS | $914.00 | ↑ +0% |
| HORIZON | MEDICARE ADVANTAGE | $914.00 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $914.00 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $914.00 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $937.20 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $959.70 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $1,096.80 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $1,190.49 | ↑ +30% |
| HORIZON | MANAGED MEDICAID | $1,257.30 | ↑ +38% |
| UNITED HEALTHCARE | HMO | $1,875.99 | ↑ +105% |
| QUALCARE | HMO | $3,273.60 | ↑ +258% |
| OXFORD | ALL PRODUCTS | $3,570.60 | ↑ +291% |
| CIGNA | PPO | $4,188.27 | ↑ +358% |
| CIGNA | HMO | $4,188.27 | ↑ +358% |
| HORIZON | OMNIA | $4,299.24 | ↑ +370% |
| AETNA | PPO | $4,540.80 | ↑ +397% |
| AETNA | HMO | $4,540.80 | ↑ +397% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,620.00 | ↑ +405% |
| INTERGROUP | SHARED SAVINGS | $4,620.00 | ↑ +405% |
| INTERGROUP | WORKERS COMP | $4,620.00 | ↑ +405% |
| HORIZON | WORKERS COMP | $4,730.88 | ↑ +418% |
| BERGEN RISK | ALL PRODUCTS | $4,950.00 | ↑ +442% |
| QUALCARE | PPO | $5,101.80 | ↑ +458% |
| QUALCARE | WORKERS COMP | $5,101.80 | ↑ +458% |
| HORIZON | PIP | $5,101.80 | ↑ +458% |
| HORIZON | SHP | $5,146.02 | ↑ +463% |
| AETNA | ASA | $5,167.80 | ↑ +465% |
| PRIME HEALTH | WORKERS COMP | $5,280.00 | ↑ +478% |
| PRIME HEALTH | AUTO INSURANCE | $5,280.00 | ↑ +478% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $5,280.00 | ↑ +478% |
| HORIZON | HMO | $5,309.70 | ↑ +481% |
| HORIZON | INDEMNITY | $5,372.40 | ↑ +488% |
| HORIZON | PPO | $5,448.96 | ↑ +496% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,610.00 | ↑ +514% |
| AMERIHEALTH | LOCAL HMO | $5,670.72 | ↑ +520% |
| AMERIHEALTH | REGIONAL HMO | $6,423.12 | ↑ +603% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
X-linked intellectual dblt at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $1,005.40 | $429.58 – $3,726.60 |
| Cooperman Barnabas Medical Center | Livingston | $1,005.40 | $429.58 – $3,726.60 |
| Community Medical Center | Toms River | $1,005.40 | $429.58 – $3,726.60 |
| Clara Maass Medical Center | Belleville | $1,005.40 | $429.58 – $3,726.60 |
| Newark Beth Israel Medical Center | Newark | $1,005.40 | $429.58 – $3,726.60 |
| Jersey City Medical Center | Jersey City | $1,005.40 | $429.58 – $3,726.60 |
| Monmouth Medical Center | Long Branch | $1,005.40 | $429.58 – $3,726.60 |
| Bayshore Medical Center | Holmdel | $914.00 | $914.00 – $4,188.27 |