Remove eyelid lesion 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.
$2,125.00
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.
$251.48 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 | $251.48 | ↓ -76% |
| CLOVER | MEDICARE ADVANTAGE | $318.78 | ↓ -70% |
| KARNA | MEDICARE ADVANTAGE | $324.02 | ↓ -69% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $343.57 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $361.28 | ↓ -66% |
| WELLCARE | MANAGED MEDICAID | $968.54 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $968.54 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $968.54 | ↓ -8% |
| VACCN | ALL PRODUCTS | $968.54 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $968.54 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,016.97 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,058.50 | ↑ +0% |
| HORIZON | OMNIA | $1,153.63 | ↑ +9% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $1,270.20 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $1,277.00 | ↑ +21% |
| BERGEN RISK | ALL PRODUCTS | $1,328.25 | ↑ +25% |
| HORIZON | PIP | $1,368.98 | ↑ +29% |
| QUALCARE | PPO | $1,376.07 | ↑ +30% |
| HORIZON | SHP | $1,380.85 | ↑ +30% |
| AETNA | ASA | $1,386.69 | ↑ +31% |
| HORIZON | HMO | $1,424.77 | ↑ +35% |
| HORIZON | INDEMNITY | $1,441.59 | ↑ +36% |
| HORIZON | PPO | $1,462.14 | ↑ +38% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,487.50 | ↑ +41% |
| INTERGROUP | SHARED SAVINGS | $1,487.50 | ↑ +41% |
| INTERGROUP | WORKERS COMP | $1,487.50 | ↑ +41% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,505.35 | ↑ +42% |
| AMERIHEALTH | LOCAL HMO | $1,521.64 | ↑ +44% |
| QUALCARE | WORKERS COMP | $1,558.48 | ↑ +47% |
| BRIGHTON HEALTH PLAN | PNO | $1,671.09 | ↑ +58% |
| PRIME HEALTH | AUTO INSURANCE | $1,700.00 | ↑ +61% |
| PRIME HEALTH | WORKERS COMP | $1,700.00 | ↑ +61% |
| AMERIHEALTH | REGIONAL HMO | $1,723.54 | ↑ +63% |
| CIGNA | HMO | $1,922.91 | ↑ +82% |
| CIGNA | PPO | $1,922.91 | ↑ +82% |
| OXFORD | ALL PRODUCTS | $6,137.00 | ↑ +480% |
| QUALCARE | HMO | $6,256.00 | ↑ +491% |
| UNITED HEALTHCARE | HMO | $7,714.00 | ↑ +629% |
| AETNA | HMO | $8,419.00 | ↑ +695% |
| AETNA | PPO | $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
Remove eyelid lesion at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $28.93 – $2,117.00 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $41.83 – $2,173.24 |
| Community Medical Center | Toms River | $3,786.00 | $42.84 – $2,106.42 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $41.33 – $2,162.37 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $29.78 – $2,173.24 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $37.44 – $2,269.81 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $82.66 – $2,133.36 |
| Bayshore Medical Center | Holmdel | $1,072.04 | $1,072.04 – $1,286.45 |