Cataract surg w/iol 1 stage at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$2,492.56
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.
$7,154.00
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.
$1,015.87 with AETNA vs $10,671.00 with HORIZON — 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 | $1,015.87 | ↓ -59% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -52% |
| CLOVER | MEDICARE ADVANTAGE | $1,287.72 | ↓ -48% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,387.88 | ↓ -44% |
| HORIZON | MANAGED MEDICAID | $1,967.00 | ↓ -21% |
| VACCN | ALL PRODUCTS | $2,280.73 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $2,280.73 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $2,280.73 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $2,280.73 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $2,280.73 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $2,280.73 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,394.77 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,492.56 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $2,640.73 | ↑ +6% |
| UNITED HEALTHCARE | DSNP | $2,991.08 | ↑ +20% |
| HORIZON | OMNIA | $4,660.12 | ↑ +87% |
| INTERGROUP | SHARED SAVINGS | $5,007.80 | ↑ +101% |
| INTERGROUP | WORKERS COMP | $5,007.80 | ↑ +101% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $5,007.80 | ↑ +101% |
| BERGEN RISK | ALL PRODUCTS | $5,365.50 | ↑ +115% |
| HORIZON | PIP | $5,530.04 | ↑ +122% |
| QUALCARE | PPO | $5,558.66 | ↑ +123% |
| HORIZON | SHP | $5,577.97 | ↑ +124% |
| AETNA | ASA | $5,601.58 | ↑ +125% |
| PRIME HEALTH | AUTO INSURANCE | $5,723.20 | ↑ +130% |
| PRIME HEALTH | WORKERS COMP | $5,723.20 | ↑ +130% |
| HORIZON | HMO | $5,755.39 | ↑ +131% |
| HORIZON | INDEMNITY | $5,823.36 | ↑ +134% |
| HORIZON | PPO | $5,906.34 | ↑ +137% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,080.90 | ↑ +144% |
| AMERIHEALTH | LOCAL HMO | $6,146.72 | ↑ +147% |
| QUALCARE | HMO | $6,256.00 | ↑ +151% |
| QUALCARE | WORKERS COMP | $6,295.52 | ↑ +153% |
| CIGNA | HMO | $6,473.65 | ↑ +160% |
| CIGNA | PPO | $6,473.65 | ↑ +160% |
| AMERIHEALTH | REGIONAL HMO | $6,962.27 | ↑ +179% |
| OXFORD | ALL PRODUCTS | $8,183.00 | ↑ +228% |
| AETNA | PPO | $8,419.00 | ↑ +238% |
| AETNA | HMO | $8,419.00 | ↑ +238% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +299% |
| UNITED HEALTHCARE | HMO | $10,334.00 | ↑ +315% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +328% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cataract surg w/iol 1 stage at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $2,524.45 | $2,524.45 – $3,029.34 |
| Hackensack University Medical Center | Hackensack | $2,685.92 | $2,148.74 – $2,820.22 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,526.64 | $1,026.00 – $2,696.48 |
| Jersey Shore University Medical Center | Neptune City | $2,524.45 | $2,524.45 – $3,029.34 |
| Palisades Medical Center | North Bergen | $2,685.92 | $2,685.92 – $2,927.66 |
| Raritan Bay Medical Center | Perth Amboy | $2,526.64 | $2,526.64 – $3,031.97 |
| Riverview Medical Center | Red Bank | $2,524.45 | $2,524.45 – $3,029.34 |
| Southern Ocean Medical Center | Manahawkin | $2,492.56 | $2,492.56 – $2,991.08 |