Corneal transplant at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$4,452.74
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.
$9,810.00
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.
$1,628.46 with AETNA vs $19,888.00 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 | $1,628.46 | ↓ -63% |
| CLOVER | MEDICARE ADVANTAGE | $1,765.80 | ↓ -60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,266.11 | ↓ -49% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -47% |
| KARNA | MEDICARE ADVANTAGE | $2,586.97 | ↓ -42% |
| HORIZON | MANAGED MEDICAID | $2,886.00 | ↓ -35% |
| WELLCARE | MANAGED MEDICAID | $4,452.74 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $4,452.74 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $4,452.74 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4,452.74 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,452.74 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,675.38 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4,853.49 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $5,343.29 | ↑ +20% |
| QUALCARE | HMO | $6,256.00 | ↑ +40% |
| CIGNA | HMO | $6,725.00 | ↑ +51% |
| BEACON | ALL PRODUCTS | $7,357.50 | ↑ +65% |
| BERGEN RISK | ALL PRODUCTS | $7,357.50 | ↑ +65% |
| HORIZON | PIP | $7,475.22 | ↑ +68% |
| CIGNA | PPO | $7,533.00 | ↑ +69% |
| QUALCARE | PPO | $7,622.37 | ↑ +71% |
| AETNA | ASA | $7,681.23 | ↑ +73% |
| HORIZON | OMNIA | $7,783.25 | ↑ +75% |
| CIGNA | BH | $7,848.00 | ↑ +76% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $8,338.50 | ↑ +87% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $8,338.50 | ↑ +87% |
| AMERIHEALTH | LOCAL HMO | $8,570.02 | ↑ +92% |
| QUALCARE | WORKERS COMP | $8,632.80 | ↑ +94% |
| HORIZON | SHP | $9,522.57 | ↑ +114% |
| HORIZON | HMO | $9,572.60 | ↑ +115% |
| HORIZON | INDEMNITY | $9,677.57 | ↑ +117% |
| AMERIHEALTH | REGIONAL HMO | $9,706.01 | ↑ +118% |
| HORIZON | PPO | $9,810.00 | ↑ +120% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +128% |
| AETNA | HMO | $10,202.00 | ↑ +129% |
| AETNA | PPO | $10,202.00 | ↑ +129% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +228% |
| OXFORD | ALL PRODUCTS | $16,418.00 | ↑ +269% |
| UNITED HEALTHCARE | HMO | $19,888.00 | ↑ +347% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Corneal transplant at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $4,452.74 | $4,452.74 – $5,343.29 |
| Hackensack University Medical Center | Hackensack | $4,737.56 | $2,689.26 – $4,974.44 |
| Ocean University Medical Center | Brick | $4,396.50 | $2,586.97 – $5,275.80 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $4,456.60 | $864.00 – $4,456.60 |
| Palisades Medical Center | North Bergen | $4,737.56 | $2,689.26 – $5,163.94 |
| Raritan Bay Medical Center | Perth Amboy | $4,456.60 | $2,689.26 – $5,347.93 |
| Riverview Medical Center | Red Bank | $4,452.74 | $2,586.97 – $5,343.29 |
| Southern Ocean Medical Center | Manahawkin | $4,396.50 | $2,586.97 – $5,275.80 |