Unlisted procedure eyelids 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.
$1,794.00
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.
$254.75 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 | $254.75 | ↓ -22% |
| VACCN | ALL PRODUCTS | $298.93 | ↓ -8% |
| AMERIGROUP | MEDICARE ADVANTAGE | $298.93 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $298.93 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $298.93 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $298.93 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $298.93 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $313.88 | ↓ -4% |
| CLOVER | MEDICARE ADVANTAGE | $322.92 | ↓ -1% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $326.69 | ↑ +0% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $348.04 | ↑ +7% |
| UNITED HEALTHCARE | DSNP | $392.03 | ↑ +20% |
| HORIZON | OMNIA | $1,168.61 | ↑ +258% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +264% |
| INTERGROUP | WORKERS COMP | $1,255.80 | ↑ +284% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $1,255.80 | ↑ +284% |
| INTERGROUP | SHARED SAVINGS | $1,255.80 | ↑ +284% |
| BERGEN RISK | ALL PRODUCTS | $1,345.50 | ↑ +312% |
| HORIZON | PIP | $1,386.76 | ↑ +324% |
| QUALCARE | PPO | $1,393.94 | ↑ +327% |
| HORIZON | SHP | $1,398.78 | ↑ +328% |
| AETNA | ASA | $1,404.70 | ↑ +330% |
| PRIME HEALTH | AUTO INSURANCE | $1,435.20 | ↑ +339% |
| PRIME HEALTH | WORKERS COMP | $1,435.20 | ↑ +339% |
| HORIZON | HMO | $1,443.27 | ↑ +342% |
| HORIZON | INDEMNITY | $1,460.32 | ↑ +347% |
| HORIZON | PPO | $1,481.13 | ↑ +353% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,524.90 | ↑ +367% |
| AMERIHEALTH | LOCAL HMO | $1,541.40 | ↑ +372% |
| HORIZON | MANAGED MEDICAID | $1,575.00 | ↑ +382% |
| QUALCARE | WORKERS COMP | $1,578.72 | ↑ +383% |
| CIGNA | HMO | $1,612.63 | ↑ +394% |
| CIGNA | PPO | $1,612.63 | ↑ +394% |
| AMERIHEALTH | REGIONAL HMO | $1,745.92 | ↑ +434% |
| OXFORD | ALL PRODUCTS | $2,810.00 | ↑ +760% |
| UNITED HEALTHCARE | HMO | $3,454.00 | ↑ +957% |
| QUALCARE | HMO | $6,256.00 | ↑ +1815% |
| AETNA | PPO | $8,419.00 | ↑ +2477% |
| AETNA | HMO | $8,419.00 | ↑ +2477% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +2940% |
| HORIZON | WORKERS COMP | $10,671.00 | ↑ +3166% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted procedure eyelids at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $326.69 – $650.11 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $335.38 – $667.41 |
| Bayshore Medical Center | Holmdel | $330.87 | $330.87 – $397.05 |
| Hackensack University Medical Center | Hackensack | $352.04 | $281.63 – $369.64 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $331.16 | $298.93 – $331.16 |
| Jersey Shore University Medical Center | Neptune City | $330.87 | $330.87 – $397.05 |
| Palisades Medical Center | North Bergen | $352.04 | $352.04 – $383.72 |
| Raritan Bay Medical Center | Perth Amboy | $331.16 | $331.16 – $397.39 |