CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Ocean Medical Center

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$22,402

about 1.7× the $12,807 Medicare rate · typically $16,177–$40,890

modeled estimate · not a bill or quote

What this hospital charges insurers

$18,136

Below the fair price — a good deal

about $4,266 under the fair price · 1.4× Medicare

Medicare pays $12,807 Fair price $22,402 This hospital $18,136 Cash price $15,364

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $14,255 Priciest $18,136

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

A fair price for a Heart stent placement (inpatient stay) is about $22,402 (about 1.7× the $12,807 Medicare rate). Ocean Medical Center charges insurers about $18,136, or about $15,364 in cash — below the fair price — a good deal. Located in Brick, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$17,251 - $69,294	135%
Blue Cross Blue Shieldmajor	$16,487	129%
Aetnamajor	$16,430 - $50,468	128%
Cignamajor	$51,414 - $60,780	401%
Amerigroup	$16,430 - $16,487	128%
Clover Health	$18,136	142%
WellCare	$16,430 - $16,487	128%
+ 4 smaller / regional plans	$15,110 - $57,987

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 15,364), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 322.

Insurance Before you use insurance

Call your insurance company to confirm Ocean Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 322.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Ocean Medical Center

Compare: Heart stent placement (inpatient stay) at other NJ hospitals

Valley Hospital · Paramus $14,255
Cape Regional Medical Center Inc · Cape May Court House $14,518
Shore Medical Center · Somers Point $14,609
Carewell Health Medical Center · East Orange $15,632
Southern Ocean Medical Center · Manahawkin $15,685
Riverview Medical Center · Red Bank $15,719
Bayshore Medical Center · Holmdel $15,825
St Luke's Warren Hospital · Phillipsburg $16,991

Insurance negotiated median for the same procedure, sorted lowest first.