Removal of lens material 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.
$10,500.00
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.
$1,725.84 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $1,725.84 | ↓ -61% |
| AETNA | MANAGED MEDICAID | $1,743.00 | ↓ -61% |
| HORIZON | MANAGED MEDICAID | $1,827.00 | ↓ -59% |
| CLOVER | MEDICARE ADVANTAGE | $1,890.00 | ↓ -58% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -47% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,425.50 | ↓ -46% |
| CIGNA | HMO | $4,412.00 | ↓ -1% |
| WELLCARE | MANAGED MEDICAID | $4,452.74 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4,452.74 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $4,452.74 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $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% |
| CIGNA | PPO | $4,944.00 | ↑ +11% |
| UNITED HEALTHCARE | DSNP | $5,343.29 | ↑ +20% |
| QUALCARE | HMO | $6,256.00 | ↑ +40% |
| BEACON | ALL PRODUCTS | $7,875.00 | ↑ +77% |
| BERGEN RISK | ALL PRODUCTS | $7,875.00 | ↑ +77% |
| HORIZON | PIP | $8,001.00 | ↑ +80% |
| QUALCARE | PPO | $8,158.50 | ↑ +83% |
| AETNA | ASA | $8,221.50 | ↑ +85% |
| HORIZON | OMNIA | $8,330.70 | ↑ +87% |
| CIGNA | BH | $8,400.00 | ↑ +89% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $8,925.00 | ↑ +100% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $8,925.00 | ↑ +100% |
| AMERIHEALTH | LOCAL HMO | $9,172.80 | ↑ +106% |
| QUALCARE | WORKERS COMP | $9,240.00 | ↑ +108% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +128% |
| HORIZON | SHP | $10,192.35 | ↑ +129% |
| AETNA | PPO | $10,202.00 | ↑ +129% |
| AETNA | HMO | $10,202.00 | ↑ +129% |
| HORIZON | HMO | $10,245.90 | ↑ +130% |
| HORIZON | INDEMNITY | $10,358.25 | ↑ +133% |
| AMERIHEALTH | REGIONAL HMO | $10,388.70 | ↑ +133% |
| HORIZON | PPO | $10,500.00 | ↑ +136% |
| 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
Removal of lens material at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $424.62 – $8,793.00 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $652.38 – $9,026.66 |
| Community Medical Center | Toms River | $3,786.00 | $668.10 – $8,749.04 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $644.52 – $8,981.53 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $437.10 – $9,026.66 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $549.50 – $9,427.74 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,289.04 – $8,860.95 |
| Bayshore Medical Center | Holmdel | $4,452.74 | $4,452.74 – $5,343.29 |