Ablate bone tumor(s) cryo perq 20983 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$7,807.24
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.
$13,439.00
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.
$687.19 with KARNA vs $13,218.60 with AMERIHEALTH — 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 | $687.19 | ↓ -91% |
| CLOVER | MEDICARE ADVANTAGE | $2,419.02 | ↓ -69% |
| AETNA | MANAGED MEDICAID | $2,486.22 | ↓ -68% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,755.00 | ↓ -65% |
| HORIZON | OMNIA | $6,368.00 | ↓ -18% |
| HORIZON | SHP | $7,264.00 | ↓ -7% |
| VACCN | ALL PRODUCTS | $7,807.24 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $7,807.24 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $7,807.24 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $7,807.24 | ↑ +0% |
| HORIZON | INDEMNITY | $7,867.00 | ↑ +1% |
| HORIZON | HMO | $7,869.00 | ↑ +1% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $7,915.57 | ↑ +1% |
| HORIZON | PPO | $8,077.00 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $8,197.60 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $8,509.89 | ↑ +9% |
| HORIZON | MANAGED MEDICAID | $8,517.64 | ↑ +9% |
| HORIZON | PIP | $8,748.79 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $9,368.69 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $9,553.79 | ↑ +22% |
| BERGEN RISK | ALL PRODUCTS | $10,079.25 | ↑ +29% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +30% |
| UNITED HEALTHCARE | HMO | $10,439.42 | ↑ +34% |
| AETNA | ASA | $10,522.74 | ↑ +35% |
| CIGNA | BH | $10,751.20 | ↑ +38% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $11,423.15 | ↑ +46% |
| AMERIHEALTH | LOCAL HMO | $11,670.43 | ↑ +49% |
| CIGNA | PPO | $12,080.32 | ↑ +55% |
| CIGNA | HMO | $12,080.32 | ↑ +55% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $12,095.10 | ↑ +55% |
| AETNA | HMO | $12,097.79 | ↑ +55% |
| AETNA | PPO | $12,097.79 | ↑ +55% |
| QUALCARE | WORKERS COMP | $12,202.61 | ↑ +56% |
| QUALCARE | PPO | $12,202.61 | ↑ +56% |
| QUALCARE | HMO | $12,202.61 | ↑ +56% |
| AMERIHEALTH | REGIONAL HMO | $13,218.60 | ↑ +69% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ablate bone tumor(s) cryo perq 20983 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $7,907.11 | $7,907.11 – $9,488.53 |
| Hackensack University Medical Center | Hackensack | $8,412.89 | $705.31 – $8,833.53 |
| Ocean University Medical Center | Brick | $7,807.24 | $687.19 – $9,368.69 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $7,913.97 | $705.31 – $7,913.97 |
| Jersey Shore University Medical Center | Neptune City | $7,907.11 | $687.19 – $9,488.53 |
| Palisades Medical Center | North Bergen | $8,412.89 | $705.31 – $9,170.04 |
| Raritan Bay Medical Center | Perth Amboy | $7,913.97 | $705.31 – $10,317.18 |
| Riverview Medical Center | Red Bank | $7,907.11 | $687.19 – $9,488.53 |