Anoscopy remove lesions w/cautery/snare 46612 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$2,997.10
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.
$6,027.00
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.
$196.85 with KARNA vs $10,216.00 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 | $196.85 | ↓ -93% |
| HORIZON | MANAGED MEDICAID | $903.00 | ↓ -70% |
| CLOVER | MEDICARE ADVANTAGE | $1,084.86 | ↓ -64% |
| AETNA | MANAGED MEDICAID | $1,115.00 | ↓ -63% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,235.54 | ↓ -59% |
| QUALCARE | HMO | $1,525.00 | ↓ -49% |
| CIGNA | HMO | $2,249.00 | ↓ -25% |
| CIGNA | PPO | $2,518.00 | ↓ -16% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,997.10 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,997.10 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,997.10 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,997.10 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,146.96 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,266.84 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $3,596.52 | ↑ +20% |
| HORIZON | PIP | $3,923.58 | ↑ +31% |
| HORIZON | WORKERS COMP | $4,049.54 | ↑ +35% |
| HORIZON | OMNIA | $4,352.10 | ↑ +45% |
| BERGEN RISK | ALL PRODUCTS | $4,520.25 | ↑ +51% |
| AETNA | ASA | $4,719.14 | ↑ +57% |
| CIGNA | BH | $4,821.60 | ↑ +61% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,122.95 | ↑ +71% |
| HORIZON | SHP | $5,173.58 | ↑ +73% |
| AMERIHEALTH | LOCAL HMO | $5,233.85 | ↑ +75% |
| HORIZON | INDEMNITY | $5,364.03 | ↑ +79% |
| HORIZON | HMO | $5,367.65 | ↑ +79% |
| QUALCARE | PPO | $5,472.52 | ↑ +83% |
| QUALCARE | WORKERS COMP | $5,472.52 | ↑ +83% |
| HORIZON | PPO | $5,509.88 | ↑ +84% |
| AMERIHEALTH | REGIONAL HMO | $5,928.16 | ↑ +98% |
| OXFORD | ALL PRODUCTS | $8,251.00 | ↑ +175% |
| AETNA | HMO | $9,383.00 | ↑ +213% |
| AETNA | PPO | $9,383.00 | ↑ +213% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +231% |
| UNITED HEALTHCARE | HMO | $10,216.00 | ↑ +241% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Anoscopy remove lesions w/cautery/snare 46612 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,035.44 | $3,035.44 – $3,642.53 |
| Hackensack University Medical Center | Hackensack | $3,229.60 | $202.17 – $3,391.08 |
| Ocean University Medical Center | Brick | $2,997.10 | $196.85 – $3,596.52 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,038.07 | $134.20 – $3,038.07 |
| Jersey Shore University Medical Center | Neptune City | $3,035.44 | $196.85 – $3,642.53 |
| Palisades Medical Center | North Bergen | $3,229.60 | $202.17 – $3,520.27 |
| Raritan Bay Medical Center | Perth Amboy | $3,038.07 | $202.17 – $3,645.69 |
| Riverview Medical Center | Red Bank | $3,035.44 | $196.85 – $3,642.53 |