X-ray exam of mastoids at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$116.22
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.
$337.00
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.
$46.88 with UNITED HEALTHCARE vs $295.04 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $46.88 | ↓ -60% |
| AETNA | MANAGED MEDICAID | $47.85 | ↓ -59% |
| CLOVER | MEDICARE ADVANTAGE | $60.66 | ↓ -48% |
| HORIZON | MANAGED MEDICAID | $64.01 | ↓ -45% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $65.38 | ↓ -44% |
| AMERIHEALTH | LOCAL HMO | $65.64 | ↓ -44% |
| AMERIHEALTH | REGIONAL HMO | $66.78 | ↓ -43% |
| AETNA | PPO | $68.72 | ↓ -41% |
| AETNA | HMO | $68.72 | ↓ -41% |
| KARNA | MEDICARE ADVANTAGE | $70.63 | ↓ -39% |
| CIGNA | HMO | $104.77 | ↓ -10% |
| CIGNA | PPO | $104.77 | ↓ -10% |
| VACCN | ALL PRODUCTS | $106.34 | ↓ -9% |
| WELLCARE | MEDICARE ADVANTAGE | $106.34 | ↓ -9% |
| AMERIGROUP | MEDICARE ADVANTAGE | $106.34 | ↓ -9% |
| WELLCARE | MANAGED MEDICAID | $106.34 | ↓ -9% |
| HORIZON | MEDICARE ADVANTAGE | $106.34 | ↓ -9% |
| AETNA | MEDICARE ADVANTAGE | $106.34 | ↓ -9% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $111.66 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $116.22 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $139.46 | ↑ +20% |
| QUALCARE | HMO | $167.15 | ↑ +44% |
| OXFORD | ALL PRODUCTS | $182.32 | ↑ +57% |
| HORIZON | OMNIA | $219.52 | ↑ +89% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $235.20 | ↑ +102% |
| INTERGROUP | SHARED SAVINGS | $235.20 | ↑ +102% |
| INTERGROUP | WORKERS COMP | $235.20 | ↑ +102% |
| HORIZON | WORKERS COMP | $241.56 | ↑ +108% |
| BERGEN RISK | ALL PRODUCTS | $252.75 | ↑ +117% |
| QUALCARE | PPO | $259.73 | ↑ +123% |
| QUALCARE | WORKERS COMP | $259.73 | ↑ +123% |
| HORIZON | PIP | $260.50 | ↑ +124% |
| HORIZON | SHP | $262.76 | ↑ +126% |
| AETNA | ASA | $263.87 | ↑ +127% |
| PRIME HEALTH | WORKERS COMP | $268.80 | ↑ +131% |
| PRIME HEALTH | AUTO INSURANCE | $268.80 | ↑ +131% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $269.60 | ↑ +132% |
| HORIZON | HMO | $271.12 | ↑ +133% |
| HORIZON | INDEMNITY | $274.32 | ↑ +136% |
| HORIZON | PPO | $278.23 | ↑ +139% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $285.60 | ↑ +146% |
| UNITED HEALTHCARE | HMO | $295.04 | ↑ +154% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of mastoids at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $58.18 | $19.99 – $232.44 |
| Childrens Specialized Hospital | Mountainside | $120.50 | $17.22 – $655.00 |
| Jersey City Medical Center | Jersey City | $64.41 | $25.87 – $249.21 |
| Bayshore Medical Center | Holmdel | $117.70 | $46.88 – $295.04 |
| Hackensack University Medical Center | Hackensack | $125.23 | $25.60 – $336.99 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $117.81 | $58.70 – $312.47 |
| Jersey Shore University Medical Center | Neptune City | $117.70 | $46.88 – $123.59 |
| Palisades Medical Center | North Bergen | $125.23 | $28.24 – $295.04 |