Cover eye w/membrane at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$1,058.50
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.
$2,804.00
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.
$89.15 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $89.15 | ↓ -92% |
| AETNA | MANAGED MEDICAID | $398.17 | ↓ -62% |
| CLOVER | MEDICARE ADVANTAGE | $504.72 | ↓ -52% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $543.98 | ↓ -49% |
| AETNA | MEDICARE ADVANTAGE | $968.54 | ↓ -8% |
| VACCN | ALL PRODUCTS | $968.54 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $968.54 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $968.54 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $968.54 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $968.54 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,016.97 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,058.50 | ↑ +0% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $1,270.20 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↑ +49% |
| HORIZON | OMNIA | $1,826.53 | ↑ +73% |
| INTERGROUP | SHARED SAVINGS | $1,962.80 | ↑ +85% |
| INTERGROUP | WORKERS COMP | $1,962.80 | ↑ +85% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,962.80 | ↑ +85% |
| BERGEN RISK | ALL PRODUCTS | $2,103.00 | ↑ +99% |
| HORIZON | PIP | $2,167.49 | ↑ +105% |
| QUALCARE | PPO | $2,178.71 | ↑ +106% |
| HORIZON | SHP | $2,186.28 | ↑ +107% |
| AETNA | ASA | $2,195.53 | ↑ +107% |
| PRIME HEALTH | AUTO INSURANCE | $2,243.20 | ↑ +112% |
| PRIME HEALTH | WORKERS COMP | $2,243.20 | ↑ +112% |
| HORIZON | HMO | $2,255.82 | ↑ +113% |
| HORIZON | INDEMNITY | $2,282.46 | ↑ +116% |
| HORIZON | PPO | $2,314.98 | ↑ +119% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,383.40 | ↑ +125% |
| AMERIHEALTH | LOCAL HMO | $2,409.20 | ↑ +128% |
| QUALCARE | WORKERS COMP | $2,467.52 | ↑ +133% |
| CIGNA | HMO | $2,537.34 | ↑ +140% |
| CIGNA | PPO | $2,537.34 | ↑ +140% |
| AMERIHEALTH | REGIONAL HMO | $2,728.85 | ↑ +158% |
| OXFORD | ALL PRODUCTS | $6,137.00 | ↑ +480% |
| QUALCARE | HMO | $6,256.00 | ↑ +491% |
| UNITED HEALTHCARE | HMO | $7,714.00 | ↑ +629% |
| AETNA | PPO | $8,419.00 | ↑ +695% |
| AETNA | HMO | $8,419.00 | ↑ +695% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +838% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +908% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cover eye w/membrane at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,072.04 | $1,072.04 – $1,286.45 |
| Hackensack University Medical Center | Hackensack | $1,140.61 | $92.03 – $1,197.64 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,072.97 | $92.03 – $1,072.97 |
| Jersey Shore University Medical Center | Neptune City | $1,072.04 | $89.15 – $1,286.45 |
| Palisades Medical Center | North Bergen | $1,140.61 | $92.03 – $1,243.27 |
| Raritan Bay Medical Center | Perth Amboy | $1,072.97 | $92.03 – $1,287.56 |
| Riverview Medical Center | Red Bank | $1,072.04 | $89.15 – $1,286.45 |
| Southern Ocean Medical Center | Manahawkin | $1,058.50 | $89.15 – $1,270.20 |