Incise tear duct opening 68440 at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$326.69
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.
$784.00
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.
$108.20 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 | $108.20 | ↓ -67% |
| CLOVER | MEDICARE ADVANTAGE | $137.16 | ↓ -58% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $147.83 | ↓ -55% |
| AETNA | MEDICARE ADVANTAGE | $155.45 | ↓ -52% |
| KARNA | MEDICARE ADVANTAGE | $209.67 | ↓ -36% |
| VACCN | ALL PRODUCTS | $298.93 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $298.93 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $298.93 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $298.93 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $298.93 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $313.88 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $326.69 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $392.03 | ↑ +20% |
| HORIZON | OMNIA | $496.37 | ↑ +52% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $548.80 | ↑ +68% |
| INTERGROUP | WORKERS COMP | $548.80 | ↑ +68% |
| INTERGROUP | SHARED SAVINGS | $548.80 | ↑ +68% |
| BERGEN RISK | ALL PRODUCTS | $571.50 | ↑ +75% |
| BRIGHTON HEALTH PLAN | PNO | $586.89 | ↑ +80% |
| HORIZON | PIP | $589.03 | ↑ +80% |
| QUALCARE | PPO | $592.07 | ↑ +81% |
| HORIZON | SHP | $594.13 | ↑ +82% |
| AETNA | ASA | $596.65 | ↑ +83% |
| HORIZON | HMO | $613.03 | ↑ +88% |
| HORIZON | INDEMNITY | $620.27 | ↑ +90% |
| PRIME HEALTH | AUTO INSURANCE | $627.20 | ↑ +92% |
| PRIME HEALTH | WORKERS COMP | $627.20 | ↑ +92% |
| HORIZON | PPO | $629.11 | ↑ +93% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $647.70 | ↑ +98% |
| AMERIHEALTH | LOCAL HMO | $654.71 | ↑ +100% |
| QUALCARE | WORKERS COMP | $670.56 | ↑ +105% |
| CIGNA | HMO | $709.44 | ↑ +117% |
| CIGNA | PPO | $709.44 | ↑ +117% |
| AMERIHEALTH | REGIONAL HMO | $741.58 | ↑ +127% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +264% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↑ +382% |
| OXFORD | ALL PRODUCTS | $2,810.00 | ↑ +760% |
| UNITED HEALTHCARE | HMO | $3,454.00 | ↑ +957% |
| AETNA | HMO | $4,025.00 | ↑ +1132% |
| AETNA | PPO | $4,025.00 | ↑ +1132% |
| QUALCARE | HMO | $6,256.00 | ↑ +1815% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +2940% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +3166% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Incise tear duct opening 68440 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $330.87 | $330.87 – $397.05 |
| Hackensack University Medical Center | Hackensack | $352.04 | $219.10 – $369.64 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $331.16 | $44.80 – $586.89 |
| Jersey Shore University Medical Center | Neptune City | $330.87 | $209.67 – $397.05 |
| Palisades Medical Center | North Bergen | $352.04 | $44.13 – $383.72 |
| Raritan Bay Medical Center | Perth Amboy | $331.16 | $56.00 – $606.70 |
| Riverview Medical Center | Red Bank | $330.87 | $209.67 – $397.05 |
| Southern Ocean Medical Center | Manahawkin | $326.69 | $209.67 – $392.03 |