Ablate pulm tumor perq crybl at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$11,378.21
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.
$13,291.00
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.
$871.14 with KARNA vs $13,653.86 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 | $871.14 | ↓ -92% |
| CLOVER | MEDICARE ADVANTAGE | $2,392.38 | ↓ -79% |
| AETNA | MANAGED MEDICAID | $2,458.84 | ↓ -78% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,724.66 | ↓ -76% |
| HORIZON | OMNIA | $6,368.00 | ↓ -44% |
| HORIZON | SHP | $7,264.00 | ↓ -36% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $7,828.40 | ↓ -31% |
| HORIZON | INDEMNITY | $7,867.00 | ↓ -31% |
| HORIZON | HMO | $7,869.00 | ↓ -31% |
| HORIZON | PPO | $8,077.00 | ↓ -29% |
| HORIZON | MANAGED MEDICAID | $8,423.84 | ↓ -26% |
| HORIZON | PIP | $8,652.44 | ↓ -24% |
| OXFORD | ALL PRODUCTS | $9,448.57 | ↓ -17% |
| BERGEN RISK | ALL PRODUCTS | $9,968.25 | ↓ -12% |
| HORIZON | WORKERS COMP | $10,149.00 | ↓ -11% |
| UNITED HEALTHCARE | HMO | $10,324.45 | ↓ -9% |
| AETNA | ASA | $10,406.85 | ↓ -9% |
| CIGNA | BH | $10,632.80 | ↓ -7% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $11,297.35 | ↓ -1% |
| VACCN | ALL PRODUCTS | $11,378.21 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $11,378.21 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $11,378.21 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $11,378.21 | ↑ +0% |
| AMERIHEALTH | LOCAL HMO | $11,541.90 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $11,947.12 | ↑ +5% |
| CIGNA | PPO | $11,947.28 | ↑ +5% |
| CIGNA | HMO | $11,947.28 | ↑ +5% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,961.90 | ↑ +5% |
| AETNA | PPO | $11,964.56 | ↑ +5% |
| AETNA | HMO | $11,964.56 | ↑ +5% |
| QUALCARE | PPO | $12,068.23 | ↑ +6% |
| QUALCARE | WORKERS COMP | $12,068.23 | ↑ +6% |
| QUALCARE | HMO | $12,068.23 | ↑ +6% |
| AETNA | MEDICARE ADVANTAGE | $12,402.25 | ↑ +9% |
| AMERIHEALTH | REGIONAL HMO | $13,073.03 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $13,653.86 | ↑ +20% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Ablate pulm tumor perq crybl at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $11,523.76 | $11,523.76 – $13,828.52 |
| Hackensack University Medical Center | Hackensack | $12,260.88 | $893.42 – $12,873.92 |
| Ocean University Medical Center | Brick | $11,378.21 | $871.14 – $13,653.86 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $11,533.76 | $893.42 – $11,533.76 |
| Jersey Shore University Medical Center | Neptune City | $11,523.76 | $871.14 – $13,828.52 |
| Palisades Medical Center | North Bergen | $12,260.88 | $893.42 – $13,364.36 |
| Raritan Bay Medical Center | Perth Amboy | $11,533.76 | $893.42 – $13,840.51 |
| Riverview Medical Center | Red Bank | $11,523.76 | $871.14 – $13,828.52 |