Remove eyelid lesion at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$330.87
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.
$1,139.00
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.
$189.07 with AETNA 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $189.07 | ↓ -43% |
| CLOVER | MEDICARE ADVANTAGE | $205.02 | ↓ -38% |
| KARNA | MEDICARE ADVANTAGE | $210.72 | ↓ -36% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $263.11 | ↓ -20% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $330.87 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $330.87 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $330.87 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $330.87 | ↑ +0% |
| VACCN | ALL PRODUCTS | $330.87 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $347.42 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $360.65 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $397.05 | ↑ +20% |
| BEACON | ALL PRODUCTS | $854.25 | ↑ +158% |
| BERGEN RISK | ALL PRODUCTS | $854.25 | ↑ +158% |
| HORIZON | PIP | $867.92 | ↑ +162% |
| QUALCARE | PPO | $885.00 | ↑ +167% |
| AETNA | ASA | $891.84 | ↑ +170% |
| HORIZON | OMNIA | $903.68 | ↑ +173% |
| CIGNA | BH | $911.20 | ↑ +175% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $968.15 | ↑ +193% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $968.15 | ↑ +193% |
| AMERIHEALTH | LOCAL HMO | $995.03 | ↑ +201% |
| QUALCARE | WORKERS COMP | $1,002.32 | ↑ +203% |
| HORIZON | SHP | $1,105.63 | ↑ +234% |
| HORIZON | HMO | $1,111.44 | ↑ +236% |
| HORIZON | INDEMNITY | $1,123.62 | ↑ +240% |
| AMERIHEALTH | REGIONAL HMO | $1,126.93 | ↑ +241% |
| HORIZON | PPO | $1,139.00 | ↑ +244% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +259% |
| HORIZON | MANAGED MEDICAID | $1,293.00 | ↑ +291% |
| CIGNA | HMO | $2,247.00 | ↑ +579% |
| CIGNA | PPO | $2,518.00 | ↑ +661% |
| OXFORD | ALL PRODUCTS | $2,805.00 | ↑ +748% |
| UNITED HEALTHCARE | HMO | $3,315.00 | ↑ +902% |
| QUALCARE | HMO | $6,256.00 | ↑ +1791% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,163.00 | ↑ +2972% |
| AETNA | PPO | $10,202.00 | ↑ +2983% |
| AETNA | HMO | $10,202.00 | ↑ +2983% |
| HORIZON | WORKERS COMP | $14,615.00 | ↑ +4317% |
| UBH | ALL PRODUCTS | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Remove eyelid lesion at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Medical Center | Toms River | $3,786.00 | $69.87 – $650.11 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $67.40 – $667.41 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $68.19 – $670.76 |
| Bayshore Medical Center | Holmdel | $330.87 | $330.87 – $397.05 |
| Hackensack University Medical Center | Hackensack | $352.04 | $218.93 – $369.64 |
| Ocean University Medical Center | Brick | $326.69 | $210.72 – $392.03 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $331.16 | $82.20 – $331.16 |
| Palisades Medical Center | North Bergen | $352.04 | $218.93 – $383.72 |