Ocular reconst transplant at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$5,711.08
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.
not published by hospital
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.
$2,726.62 with KARNA vs $6,853.29 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $2,726.62 | ↓ -52% |
| VACCN | ALL PRODUCTS | $5,711.08 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,711.08 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $5,711.08 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $5,711.08 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $5,711.08 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5,996.63 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $6,225.07 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $6,853.29 | ↑ +20% |
Visitor-reported prices
Comments
Ocular reconst transplant at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $670.83 – $11,277.88 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $888.10 – $11,577.56 |
| Community Medical Center | Toms River | $3,786.00 | $909.50 – $11,221.49 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $877.40 – $11,519.67 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $690.56 – $11,577.56 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $868.14 – $12,092.00 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,754.80 – $11,365.05 |
| Bayshore Medical Center | Holmdel | $5,711.08 | $5,711.08 – $6,853.29 |