Angioplasty fem/pop unilat 37224 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$6,231.08
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.
?
What you pay up front if you don't use insurance.
$11,402.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$881.98 with KARNA vs $23,291.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $881.98 | ↓ -86% |
| CLOVER | MEDICARE ADVANTAGE | $2,052.36 | ↓ -67% |
| AETNA | MANAGED MEDICAID | $2,109.37 | ↓ -66% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,337.41 | ↓ -62% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -62% |
| AETNA | MEDICARE ADVANTAGE | $2,383.02 | ↓ -62% |
| WELLCARE | MANAGED MEDICAID | $6,231.08 | ↑ +0% |
| VACCN | ALL PRODUCTS | $6,231.08 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $6,231.08 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $6,231.08 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $6,542.63 | ↑ +5% |
| HORIZON | OMNIA | $7,049.00 | ↑ +13% |
| HORIZON | MANAGED MEDICAID | $7,226.59 | ↑ +16% |
| HORIZON | PIP | $7,422.70 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $7,477.29 | ↑ +20% |
| HORIZON | WORKERS COMP | $7,661.00 | ↑ +23% |
| HORIZON | SHP | $7,963.00 | ↑ +28% |
| BERGEN RISK | ALL PRODUCTS | $8,551.50 | ↑ +37% |
| HORIZON | INDEMNITY | $8,703.00 | ↑ +40% |
| HORIZON | HMO | $8,706.00 | ↑ +40% |
| AETNA | ASA | $8,927.77 | ↑ +43% |
| HORIZON | PPO | $8,936.00 | ↑ +43% |
| CIGNA | BH | $9,121.60 | ↑ +46% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $9,691.70 | ↑ +56% |
| AMERIHEALTH | LOCAL HMO | $9,901.50 | ↑ +59% |
| QUALCARE | WORKERS COMP | $10,353.02 | ↑ +66% |
| QUALCARE | HMO | $10,353.02 | ↑ +66% |
| QUALCARE | PPO | $10,353.02 | ↑ +66% |
| CIGNA | HMO | $10,903.73 | ↑ +75% |
| CIGNA | PPO | $10,903.73 | ↑ +75% |
| AMERIHEALTH | REGIONAL HMO | $11,215.01 | ↑ +80% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,920.00 | ↑ +91% |
| AETNA | HMO | $12,074.00 | ↑ +94% |
| AETNA | PPO | $12,074.00 | ↑ +94% |
| OXFORD | ALL PRODUCTS | $18,565.00 | ↑ +198% |
| UNITED HEALTHCARE | HMO | $23,291.00 | ↑ +274% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Angioplasty fem/pop unilat 37224 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $6,310.78 | $6,310.78 – $7,572.94 |
| Hackensack University Medical Center | Hackensack | $6,714.45 | $899.01 – $7,050.17 |
| Ocean University Medical Center | Brick | $6,231.08 | $881.98 – $14,806.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $6,316.26 | $899.01 – $14,806.00 |
| Jersey Shore University Medical Center | Neptune City | $6,310.78 | $881.98 – $7,572.94 |
| Palisades Medical Center | North Bergen | $6,714.45 | $899.01 – $7,318.75 |
| Raritan Bay Medical Center | Perth Amboy | $6,316.26 | $899.01 – $7,765.76 |
| Riverview Medical Center | Red Bank | $6,310.78 | $881.98 – $7,572.94 |