Follow-up surgery of eye at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$2,549.65
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.
?
What you pay up front if you don't use insurance.
$3,678.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$522.28 with AETNA vs $10,671.00 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $522.28 | ↓ -80% |
| CLOVER | MEDICARE ADVANTAGE | $662.04 | ↓ -74% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $713.53 | ↓ -72% |
| HORIZON | MANAGED MEDICAID | $1,115.00 | ↓ -56% |
| KARNA | MEDICARE ADVANTAGE | $1,149.66 | ↓ -55% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -53% |
| VACCN | ALL PRODUCTS | $2,332.96 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $2,332.96 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $2,332.96 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $2,332.96 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $2,332.96 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $2,332.96 | ↓ -8% |
| HORIZON | OMNIA | $2,395.85 | ↓ -6% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,449.61 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,549.65 | ↑ +0% |
| INTERGROUP | WORKERS COMP | $2,574.60 | ↑ +1% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,574.60 | ↑ +1% |
| INTERGROUP | SHARED SAVINGS | $2,574.60 | ↑ +1% |
| BERGEN RISK | ALL PRODUCTS | $2,758.50 | ↑ +8% |
| HORIZON | PIP | $2,843.09 | ↑ +12% |
| QUALCARE | PPO | $2,857.81 | ↑ +12% |
| HORIZON | SHP | $2,867.74 | ↑ +12% |
| AETNA | ASA | $2,879.87 | ↑ +13% |
| PRIME HEALTH | WORKERS COMP | $2,942.40 | ↑ +15% |
| PRIME HEALTH | AUTO INSURANCE | $2,942.40 | ↑ +15% |
| HORIZON | HMO | $2,958.95 | ↑ +16% |
| HORIZON | INDEMNITY | $2,993.89 | ↑ +17% |
| HORIZON | PPO | $3,036.56 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $3,059.57 | ↑ +20% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,126.30 | ↑ +23% |
| CIGNA | HMO | $3,137.00 | ↑ +23% |
| AMERIHEALTH | LOCAL HMO | $3,160.14 | ↑ +24% |
| QUALCARE | WORKERS COMP | $3,236.64 | ↑ +27% |
| CIGNA | PPO | $3,328.22 | ↑ +31% |
| AMERIHEALTH | REGIONAL HMO | $3,579.43 | ↑ +40% |
| QUALCARE | HMO | $6,256.00 | ↑ +145% |
| OXFORD | ALL PRODUCTS | $8,183.00 | ↑ +221% |
| AETNA | HMO | $8,419.00 | ↑ +230% |
| AETNA | PPO | $8,419.00 | ↑ +230% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +290% |
| UNITED HEALTHCARE | HMO | $10,334.00 | ↑ +305% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +319% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Follow-up surgery of eye at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $2,582.26 | $2,582.26 – $3,098.71 |
| Hackensack University Medical Center | Hackensack | $2,747.43 | $1,196.23 – $2,884.81 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,584.50 | $338.80 – $2,584.50 |
| Jersey Shore University Medical Center | Neptune City | $2,582.26 | $1,149.66 – $3,098.71 |
| Palisades Medical Center | North Bergen | $2,747.43 | $1,196.23 – $2,994.70 |
| Raritan Bay Medical Center | Perth Amboy | $2,584.50 | $1,196.23 – $3,101.40 |
| Riverview Medical Center | Red Bank | $2,582.26 | $1,149.66 – $3,098.71 |
| Southern Ocean Medical Center | Manahawkin | $2,549.65 | $1,149.66 – $3,059.57 |