Reinsert ocular implant at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$4,173.97
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.
$10,777.00
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.
$1,189.00 with UNITED HEALTHCARE 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -72% |
| HORIZON | MANAGED MEDICAID | $1,482.00 | ↓ -64% |
| AETNA | MANAGED MEDICAID | $1,788.98 | ↓ -57% |
| CLOVER | MEDICARE ADVANTAGE | $1,939.86 | ↓ -54% |
| KARNA | MEDICARE ADVANTAGE | $2,014.64 | ↓ -52% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,489.49 | ↓ -40% |
| CIGNA | HMO | $3,586.00 | ↓ -14% |
| CIGNA | PPO | $4,013.00 | ↓ -4% |
| WELLCARE | MANAGED MEDICAID | $4,173.97 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,173.97 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $4,173.97 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $4,173.97 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4,173.97 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,382.67 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4,549.63 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $5,008.76 | ↑ +20% |
| QUALCARE | HMO | $6,256.00 | ↑ +50% |
| BEACON | ALL PRODUCTS | $8,082.75 | ↑ +94% |
| BERGEN RISK | ALL PRODUCTS | $8,082.75 | ↑ +94% |
| HORIZON | PIP | $8,212.07 | ↑ +97% |
| QUALCARE | PPO | $8,373.73 | ↑ +101% |
| AETNA | ASA | $8,438.39 | ↑ +102% |
| HORIZON | OMNIA | $8,550.47 | ↑ +105% |
| CIGNA | BH | $8,621.60 | ↑ +107% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $9,160.45 | ↑ +119% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $9,160.45 | ↑ +119% |
| AMERIHEALTH | LOCAL HMO | $9,414.79 | ↑ +126% |
| QUALCARE | WORKERS COMP | $9,483.76 | ↑ +127% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +143% |
| AETNA | PPO | $10,202.00 | ↑ +144% |
| AETNA | HMO | $10,202.00 | ↑ +144% |
| HORIZON | SHP | $10,461.23 | ↑ +151% |
| HORIZON | HMO | $10,516.20 | ↑ +152% |
| HORIZON | INDEMNITY | $10,631.51 | ↑ +155% |
| AMERIHEALTH | REGIONAL HMO | $10,662.76 | ↑ +155% |
| HORIZON | PPO | $10,777.00 | ↑ +158% |
| OXFORD | ALL PRODUCTS | $11,680.00 | ↑ +180% |
| UNITED HEALTHCARE | HMO | $14,121.00 | ↑ +238% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +250% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Reinsert ocular implant at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $495.67 – $8,242.50 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $581.00 – $8,461.52 |
| Community Medical Center | Toms River | $3,786.00 | $595.00 – $8,201.29 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $574.00 – $8,419.21 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $510.25 – $8,461.52 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $630.00 – $8,837.51 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,148.00 – $8,306.20 |
| Bayshore Medical Center | Holmdel | $4,173.97 | $4,173.97 – $5,008.76 |