Removal of inner eye lesion at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$599.55
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.
$1,667.00
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.
$236.71 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 | $236.71 | ↓ -61% |
| CLOVER | MEDICARE ADVANTAGE | $300.06 | ↓ -50% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $323.40 | ↓ -46% |
| HORIZON | MEDICARE ADVANTAGE | $548.60 | ↓ -8% |
| VACCN | ALL PRODUCTS | $548.60 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $548.60 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $548.60 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $548.60 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $548.60 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $576.03 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $599.55 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $719.46 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $994.84 | ↑ +66% |
| HORIZON | OMNIA | $1,085.88 | ↑ +81% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,166.90 | ↑ +95% |
| INTERGROUP | WORKERS COMP | $1,166.90 | ↑ +95% |
| INTERGROUP | SHARED SAVINGS | $1,166.90 | ↑ +95% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +98% |
| BERGEN RISK | ALL PRODUCTS | $1,250.25 | ↑ +109% |
| HORIZON | PIP | $1,288.59 | ↑ +115% |
| QUALCARE | PPO | $1,295.26 | ↑ +116% |
| HORIZON | SHP | $1,299.76 | ↑ +117% |
| AETNA | ASA | $1,305.26 | ↑ +118% |
| PRIME HEALTH | WORKERS COMP | $1,333.60 | ↑ +122% |
| PRIME HEALTH | AUTO INSURANCE | $1,333.60 | ↑ +122% |
| HORIZON | HMO | $1,341.10 | ↑ +124% |
| HORIZON | INDEMNITY | $1,356.94 | ↑ +126% |
| HORIZON | PPO | $1,376.28 | ↑ +130% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,416.95 | ↑ +136% |
| AMERIHEALTH | LOCAL HMO | $1,432.29 | ↑ +139% |
| QUALCARE | WORKERS COMP | $1,466.96 | ↑ +145% |
| CIGNA | HMO | $1,508.47 | ↑ +152% |
| CIGNA | PPO | $1,508.47 | ↑ +152% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↑ +163% |
| AMERIHEALTH | REGIONAL HMO | $1,622.32 | ↑ +171% |
| AETNA | PPO | $4,025.00 | ↑ +571% |
| AETNA | HMO | $4,025.00 | ↑ +571% |
| OXFORD | ALL PRODUCTS | $4,090.00 | ↑ +582% |
| UNITED HEALTHCARE | HMO | $5,092.00 | ↑ +749% |
| QUALCARE | HMO | $6,256.00 | ↑ +943% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1557% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +1680% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Removal of inner eye lesion at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $270.90 – $1,978.15 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $277.55 – $1,230.98 |
| Community Medical Center | Toms River | $3,786.00 | $284.24 – $1,193.10 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $274.21 – $1,224.83 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $278.87 – $1,230.98 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $300.96 – $1,285.66 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $548.42 – $1,208.37 |
| Bayshore Medical Center | Holmdel | $607.22 | $607.22 – $728.67 |