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Shoulder Arthroscopy (Rotator Cuff Repair) at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$7,807.24
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.
$9,870.00
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.
$1,401.54 with AETNA vs $24,438.00 with UNITED HEALTHCARE — 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 | $1,401.54 | ↓ -82% |
| CLOVER | MEDICARE ADVANTAGE | $1,776.60 | ↓ -77% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,914.78 | ↓ -75% |
| HORIZON | MANAGED MEDICAID | $1,967.00 | ↓ -75% |
| KARNA | MEDICARE ADVANTAGE | $2,229.02 | ↓ -71% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -70% |
| CIGNA | HMO | $5,027.00 | ↓ -36% |
| CIGNA | PPO | $5,633.00 | ↓ -28% |
| QUALCARE | HMO | $6,256.00 | ↓ -20% |
| HORIZON | OMNIA | $6,429.32 | ↓ -18% |
| INTERGROUP | SHARED SAVINGS | $6,909.00 | ↓ -12% |
| INTERGROUP | WORKERS COMP | $6,909.00 | ↓ -12% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $6,909.00 | ↓ -12% |
| AMERIGROUP | MEDICARE ADVANTAGE | $7,143.73 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $7,143.73 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $7,143.73 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $7,143.73 | ↓ -8% |
| VACCN | ALL PRODUCTS | $7,143.73 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $7,143.73 | ↓ -8% |
| BERGEN RISK | ALL PRODUCTS | $7,402.50 | ↓ -5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $7,500.92 | ↓ -4% |
| HORIZON | PIP | $7,629.51 | ↓ -2% |
| QUALCARE | PPO | $7,668.99 | ↓ -2% |
| HORIZON | SHP | $7,695.64 | ↓ -1% |
| AETNA | ASA | $7,728.21 | ↓ -1% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $7,807.24 | ↑ +0% |
| PRIME HEALTH | WORKERS COMP | $7,896.00 | ↑ +1% |
| PRIME HEALTH | AUTO INSURANCE | $7,896.00 | ↑ +1% |
| HORIZON | HMO | $7,940.42 | ↑ +2% |
| HORIZON | INDEMNITY | $8,034.18 | ↑ +3% |
| HORIZON | PPO | $8,148.67 | ↑ +4% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $8,389.50 | ↑ +7% |
| AETNA | PPO | $8,419.00 | ↑ +8% |
| AETNA | HMO | $8,419.00 | ↑ +8% |
| AMERIHEALTH | LOCAL HMO | $8,480.30 | ↑ +9% |
| QUALCARE | WORKERS COMP | $8,685.60 | ↑ +11% |
| UNITED HEALTHCARE | DSNP | $9,368.69 | ↑ +20% |
| AMERIHEALTH | REGIONAL HMO | $9,605.48 | ↑ +23% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +37% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,984.00 | ↑ +105% |
| OXFORD | ALL PRODUCTS | $18,419.00 | ↑ +136% |
| UNITED HEALTHCARE | HMO | $24,438.00 | ↑ +213% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Shoulder Arthroscopy (Rotator Cuff Repair) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $7,907.11 | $1,618.68 – $15,984.00 |
| Hackensack University Medical Center | Hackensack | $8,412.89 | $1,776.60 – $8,883.00 |