Vein x-ray eye socket at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$684.33
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.
$2,462.00
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.
$71.75 with UNITED HEALTHCARE vs $2,462.00 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 | $71.75 | ↓ -90% |
| KARNA | MEDICARE ADVANTAGE | $197.68 | ↓ -71% |
| CIGNA | HMO | $290.01 | ↓ -58% |
| CIGNA | PPO | $290.01 | ↓ -58% |
| AETNA | HMO | $325.11 | ↓ -52% |
| AETNA | PPO | $325.11 | ↓ -52% |
| AETNA | MANAGED MEDICAID | $408.69 | ↓ -40% |
| CLOVER | MEDICARE ADVANTAGE | $443.16 | ↓ -35% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $568.72 | ↓ -17% |
| WELLCARE | MANAGED MEDICAID | $684.33 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $684.33 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $684.33 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $684.33 | ↑ +0% |
| VACCN | ALL PRODUCTS | $684.33 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $718.54 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $745.92 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $821.19 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $1,391.03 | ↑ +103% |
| UNITED HEALTHCARE | HMO | $1,391.03 | ↑ +103% |
| QUALCARE | HMO | $1,430.42 | ↑ +109% |
| HORIZON | WORKERS COMP | $1,779.04 | ↑ +160% |
| BEACON | ALL PRODUCTS | $1,846.50 | ↑ +170% |
| BERGEN RISK | ALL PRODUCTS | $1,846.50 | ↑ +170% |
| HORIZON | PIP | $1,876.04 | ↑ +174% |
| QUALCARE | PPO | $1,912.97 | ↑ +180% |
| AETNA | ASA | $1,927.75 | ↑ +182% |
| HORIZON | OMNIA | $1,953.35 | ↑ +185% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,969.60 | ↑ +188% |
| CIGNA | BH | $1,969.60 | ↑ +188% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $2,092.70 | ↑ +206% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,092.70 | ↑ +206% |
| AMERIHEALTH | LOCAL HMO | $2,150.80 | ↑ +214% |
| QUALCARE | WORKERS COMP | $2,166.56 | ↑ +217% |
| HORIZON | SHP | $2,389.86 | ↑ +249% |
| HORIZON | HMO | $2,402.42 | ↑ +251% |
| HORIZON | INDEMNITY | $2,428.76 | ↑ +255% |
| AMERIHEALTH | REGIONAL HMO | $2,435.90 | ↑ +256% |
| HORIZON | PPO | $2,462.00 | ↑ +260% |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Vein x-ray eye socket at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $233.87 | $55.94 – $1,351.36 |
| Bayshore Medical Center | Holmdel | $684.33 | $71.75 – $1,466.44 |
| Hackensack University Medical Center | Hackensack | $728.10 | $95.34 – $1,674.96 |
| Ocean University Medical Center | Brick | $675.68 | $71.75 – $675.68 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $684.92 | $207.57 – $1,553.10 |
| Palisades Medical Center | North Bergen | $728.10 | $105.17 – $1,466.44 |
| Raritan Bay Medical Center | Perth Amboy | $684.92 | $71.75 – $1,466.44 |
| Riverview Medical Center | Red Bank | $684.33 | $71.75 – $1,466.44 |