X-ray nose to rectum for foreign body child at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$96.23
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.
$310.00
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.
$38.52 with UNITED HEALTHCARE vs $263.50 with MULTIPLAN - PHCS — 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 | $38.52 | ↓ -60% |
| AETNA | MANAGED MEDICAID | $44.02 | ↓ -54% |
| AETNA | HMO | $47.75 | ↓ -50% |
| AETNA | PPO | $47.75 | ↓ -50% |
| KARNA | MEDICARE ADVANTAGE | $53.89 | ↓ -44% |
| CLOVER | MEDICARE ADVANTAGE | $55.80 | ↓ -42% |
| AMERIHEALTH | LOCAL HMO | $57.68 | ↓ -40% |
| AMERIHEALTH | REGIONAL HMO | $58.68 | ↓ -39% |
| HORIZON | MANAGED MEDICAID | $59.06 | ↓ -39% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $60.14 | ↓ -38% |
| CIGNA | PPO | $75.12 | ↓ -22% |
| CIGNA | HMO | $75.12 | ↓ -22% |
| WELLCARE | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| AMERIGROUP | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| AETNA | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| HORIZON | MEDICARE ADVANTAGE | $88.05 | ↓ -9% |
| VACCN | ALL PRODUCTS | $88.05 | ↓ -9% |
| WELLCARE | MANAGED MEDICAID | $88.05 | ↓ -9% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $92.45 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $96.23 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $115.47 | ↑ +20% |
| QUALCARE | HMO | $153.76 | ↑ +60% |
| OXFORD | ALL PRODUCTS | $167.71 | ↑ +74% |
| HORIZON | OMNIA | $201.93 | ↑ +110% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $217.00 | ↑ +126% |
| INTERGROUP | WORKERS COMP | $217.00 | ↑ +126% |
| INTERGROUP | SHARED SAVINGS | $217.00 | ↑ +126% |
| UNITED HEALTHCARE | HMO | $219.04 | ↑ +128% |
| HORIZON | WORKERS COMP | $222.21 | ↑ +131% |
| BERGEN RISK | ALL PRODUCTS | $232.50 | ↑ +142% |
| HORIZON | PIP | $239.63 | ↑ +149% |
| QUALCARE | WORKERS COMP | $239.63 | ↑ +149% |
| QUALCARE | PPO | $239.63 | ↑ +149% |
| HORIZON | SHP | $241.71 | ↑ +151% |
| AETNA | ASA | $242.73 | ↑ +152% |
| PRIME HEALTH | WORKERS COMP | $248.00 | ↑ +158% |
| PRIME HEALTH | AUTO INSURANCE | $248.00 | ↑ +158% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $248.00 | ↑ +158% |
| HORIZON | HMO | $249.40 | ↑ +159% |
| HORIZON | INDEMNITY | $252.34 | ↑ +162% |
| HORIZON | PPO | $255.94 | ↑ +166% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $263.50 | ↑ +174% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
X-ray nose to rectum for foreign body child at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $63.06 | $15.25 – $192.46 |
| Cooperman Barnabas Medical Center | Livingston | $51.70 | $24.60 – $197.58 |
| Community Medical Center | Toms River | $69.68 | $24.60 – $191.50 |
| Clara Maass Medical Center | Belleville | $51.71 | $24.60 – $196.59 |
| Jersey City Medical Center | Jersey City | $69.82 | $19.73 – $206.34 |
| Monmouth Medical Center | Long Branch | $73.51 | $24.60 – $193.95 |
| Bayshore Medical Center | Holmdel | $97.46 | $38.52 – $219.04 |
| Hackensack University Medical Center | Hackensack | $103.69 | $22.30 – $250.18 |