Lens, intraocular (new tech) at Community Medical Center
99 NJ-37, Toms River, NJ · RWJBarnabas Health · · NPI 1013010917
$90.71
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.
$437.39
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.
$21.06 with United Healthcare vs $472.94 with Horizon Blue Cross Blue Shield of New Jersey — 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 | Community Plan | $21.06 | ↓ -77% |
| Fidelis Care | NJ Family Care | $21.45 | ↓ -76% |
| Aetna | Better Health | $23.04 | ↓ -75% |
| United Healthcare | Oxford Metro | $67.88 | ↓ -25% |
| Amerihealth | Local Value | $67.88 | ↓ -25% |
| Amerihealth | Regional Preferred | $67.88 | ↓ -25% |
| United Healthcare | Nexus | $67.88 | ↓ -25% |
| United Healthcare | Commercial | $67.88 | ↓ -25% |
| United Healthcare | Oxford Commercial | $67.88 | ↓ -25% |
| Cigna | Local Plus | $67.88 | ↓ -25% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $67.88 | ↓ -25% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $67.88 | ↓ -25% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $67.88 | ↓ -25% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $67.88 | ↓ -25% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $67.88 | ↓ -25% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $67.88 | ↓ -25% |
| Cigna | PPO | $67.88 | ↓ -25% |
| Cigna | HMO | $67.88 | ↓ -25% |
| Aetna | HMO | $76.36 | ↓ -16% |
| Aetna | PPO | $76.36 | ↓ -16% |
| Qualcare Inc | PPO/WC | $84.85 | ↓ -6% |
| Qualcare Inc | HMO/POS | $84.85 | ↓ -6% |
| Wellpoint | NJ Family Care | $84.85 | ↓ -6% |
| First Health | Commercial | $101.82 | ↑ +12% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $472.94 | ↑ +421% |
Visitor-reported prices
Comments
Lens, intraocular (new tech) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $114.93 | $726.10 – $726.10 |
| Cooperman Barnabas Medical Center | Livingston | $92.68 | $461.81 – $461.81 |
| Clara Maass Medical Center | Belleville | $86.99 | $456.25 – $456.25 |
| Newark Beth Israel Medical Center | Newark | $91.10 | $837.38 – $837.38 |
| Jersey City Medical Center | Jersey City | $90.88 | $500.76 – $500.76 |
| Monmouth Medical Center | Long Branch | $95.70 | $912.50 – $912.50 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | $100.36 | $439.56 – $439.56 |
| Monmouth Medical Center Southern Campus | Lakewood | $103.96 | $1,137.84 – $1,137.84 |