Clearance of tear duct at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$330.87
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.
$4,198.00
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.
$0.01 with CIGNA vs $14,615.00 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 |
|---|---|---|---|
| CIGNA | HMO | $0.01 | ↓ -100% |
| CIGNA | PPO | $0.01 | ↓ -100% |
| WELLCARE | MANAGED MEDICAID | $330.87 | ↑ +0% |
| VACCN | ALL PRODUCTS | $330.87 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $330.87 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $330.87 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $330.87 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $347.42 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $360.65 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $397.05 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $521.03 | ↑ +57% |
| AETNA | MANAGED MEDICAID | $696.87 | ↑ +111% |
| CLOVER | MEDICARE ADVANTAGE | $755.64 | ↑ +128% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $969.74 | ↑ +193% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +259% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↑ +452% |
| OXFORD | ALL PRODUCTS | $2,805.00 | ↑ +748% |
| BEACON | ALL PRODUCTS | $3,148.50 | ↑ +852% |
| BERGEN RISK | ALL PRODUCTS | $3,148.50 | ↑ +852% |
| HORIZON | PIP | $3,198.88 | ↑ +867% |
| QUALCARE | PPO | $3,261.85 | ↑ +886% |
| AETNA | ASA | $3,287.03 | ↑ +893% |
| UNITED HEALTHCARE | HMO | $3,315.00 | ↑ +902% |
| HORIZON | OMNIA | $3,330.69 | ↑ +907% |
| CIGNA | BH | $3,358.40 | ↑ +915% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,568.30 | ↑ +978% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $3,568.30 | ↑ +978% |
| AMERIHEALTH | LOCAL HMO | $3,667.37 | ↑ +1008% |
| QUALCARE | WORKERS COMP | $3,694.24 | ↑ +1017% |
| HORIZON | SHP | $4,075.00 | ↑ +1132% |
| HORIZON | HMO | $4,096.41 | ↑ +1138% |
| HORIZON | INDEMNITY | $4,141.33 | ↑ +1152% |
| AMERIHEALTH | REGIONAL HMO | $4,153.50 | ↑ +1155% |
| HORIZON | PPO | $4,198.00 | ↑ +1169% |
| QUALCARE | HMO | $6,256.00 | ↑ +1791% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +2972% |
| AETNA | HMO | $10,202.00 | ↑ +2983% |
| AETNA | PPO | $10,202.00 | ↑ +2983% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +4317% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Clearance of tear duct 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 | $281.63 – $540.59 |
| Ocean University Medical Center | Brick | $326.69 | $298.93 – $521.03 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $331.16 | $145.20 – $540.59 |
| Palisades Medical Center | North Bergen | $352.04 | $352.04 – $540.59 |
| Raritan Bay Medical Center | Perth Amboy | $331.16 | $331.16 – $540.59 |
| Riverview Medical Center | Red Bank | $330.87 | $330.87 – $521.03 |
| Southern Ocean Medical Center | Manahawkin | $326.69 | $326.69 – $521.03 |