Cmptr ophth img optic nerve at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$65.75
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.
$142.00
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.
$23.57 with AETNA vs $142.00 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 | $23.57 | ↓ -64% |
| CLOVER | MEDICARE ADVANTAGE | $25.56 | ↓ -61% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $32.80 | ↓ -50% |
| AMERIHEALTH | LOCAL HMO | $50.76 | ↓ -23% |
| AMERIHEALTH | REGIONAL HMO | $51.64 | ↓ -21% |
| KARNA | MEDICARE ADVANTAGE | $61.13 | ↓ -7% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $65.75 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $65.75 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $65.75 | ↑ +0% |
| VACCN | ALL PRODUCTS | $65.75 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $65.75 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $69.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $71.66 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $78.90 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $83.64 | ↑ +27% |
| OXFORD | ALL PRODUCTS | $96.76 | ↑ +47% |
| HORIZON | MANAGED MEDICAID | $97.97 | ↑ +49% |
| HORIZON | WORKERS COMP | $102.61 | ↑ +56% |
| BEACON | ALL PRODUCTS | $106.50 | ↑ +62% |
| BERGEN RISK | ALL PRODUCTS | $106.50 | ↑ +62% |
| HORIZON | PIP | $108.20 | ↑ +65% |
| QUALCARE | PPO | $110.33 | ↑ +68% |
| QUALCARE | HMO | $110.33 | ↑ +68% |
| AETNA | ASA | $111.19 | ↑ +69% |
| HORIZON | OMNIA | $112.66 | ↑ +71% |
| CIGNA | BH | $113.60 | ↑ +73% |
| UNITED HEALTHCARE | HMO | $120.66 | ↑ +84% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $120.70 | ↑ +84% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $120.70 | ↑ +84% |
| QUALCARE | WORKERS COMP | $124.96 | ↑ +90% |
| AETNA | HMO | $127.80 | ↑ +94% |
| AETNA | PPO | $127.80 | ↑ +94% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $127.80 | ↑ +94% |
| CIGNA | PPO | $135.79 | ↑ +107% |
| CIGNA | HMO | $135.79 | ↑ +107% |
| HORIZON | SHP | $137.84 | ↑ +110% |
| HORIZON | HMO | $138.56 | ↑ +111% |
| HORIZON | INDEMNITY | $140.08 | ↑ +113% |
| HORIZON | PPO | $142.00 | ↑ +116% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cmptr ophth img optic nerve at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $65.75 | $51.65 – $78.90 |
| Hackensack University Medical Center | Hackensack | $69.95 | $28.78 – $4,994.00 |
| Ocean University Medical Center | Brick | $64.92 | $51.65 – $2,080.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $65.80 | $46.19 – $2,437.00 |
| Palisades Medical Center | North Bergen | $69.95 | $31.75 – $576.00 |
| Raritan Bay Medical Center | Perth Amboy | $65.80 | $51.65 – $78.97 |
| Riverview Medical Center | Red Bank | $65.75 | $51.65 – $78.90 |
| Southern Ocean Medical Center | Manahawkin | $64.92 | $51.65 – $77.90 |