Dilate tear duct opening at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$441.68
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.
$802.00
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% |
| AETNA | MANAGED MEDICAID | $133.13 | ↓ -70% |
| CLOVER | MEDICARE ADVANTAGE | $144.36 | ↓ -67% |
| KARNA | MEDICARE ADVANTAGE | $166.23 | ↓ -62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $185.26 | ↓ -58% |
| WELLCARE | MEDICARE ADVANTAGE | $441.68 | ↑ +0% |
| VACCN | ALL PRODUCTS | $441.68 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $441.68 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $441.68 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $441.68 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $463.77 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $481.43 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $530.02 | ↑ +20% |
| BEACON | ALL PRODUCTS | $601.50 | ↑ +36% |
| BERGEN RISK | ALL PRODUCTS | $601.50 | ↑ +36% |
| HORIZON | PIP | $611.12 | ↑ +38% |
| QUALCARE | PPO | $623.15 | ↑ +41% |
| AETNA | ASA | $627.97 | ↑ +42% |
| HORIZON | OMNIA | $636.31 | ↑ +44% |
| CIGNA | BH | $641.60 | ↑ +45% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $681.70 | ↑ +54% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $681.70 | ↑ +54% |
| AMERIHEALTH | LOCAL HMO | $700.63 | ↑ +59% |
| QUALCARE | WORKERS COMP | $705.76 | ↑ +60% |
| HORIZON | SHP | $778.50 | ↑ +76% |
| HORIZON | HMO | $782.59 | ↑ +77% |
| HORIZON | INDEMNITY | $791.17 | ↑ +79% |
| AMERIHEALTH | REGIONAL HMO | $793.50 | ↑ +80% |
| HORIZON | PPO | $802.00 | ↑ +82% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +169% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↑ +314% |
| OXFORD | ALL PRODUCTS | $2,805.00 | ↑ +535% |
| UNITED HEALTHCARE | HMO | $3,315.00 | ↑ +651% |
| QUALCARE | HMO | $6,256.00 | ↑ +1316% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +2201% |
| AETNA | PPO | $10,202.00 | ↑ +2210% |
| AETNA | HMO | $10,202.00 | ↑ +2210% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +3209% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Dilate tear duct opening at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $441.68 | $441.68 – $530.02 |
| Hackensack University Medical Center | Hackensack | $469.93 | $173.70 – $493.43 |
| Ocean University Medical Center | Brick | $436.10 | $166.23 – $523.32 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $442.06 | $45.50 – $442.06 |
| Palisades Medical Center | North Bergen | $469.93 | $173.70 – $512.23 |
| Raritan Bay Medical Center | Perth Amboy | $442.06 | $173.70 – $530.48 |
| Riverview Medical Center | Red Bank | $441.68 | $166.23 – $530.02 |
| Southern Ocean Medical Center | Manahawkin | $436.10 | $166.23 – $523.32 |