Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$322.61
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.
$1,284.00
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.
$75.43 with KARNA vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 | $75.43 | ↓ -77% |
| CLOVER | MEDICARE ADVANTAGE | $231.12 | ↓ -28% |
| AETNA | MANAGED MEDICAID | $237.54 | ↓ -26% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $263.22 | ↓ -18% |
| AETNA | MEDICARE ADVANTAGE | $268.36 | ↓ -17% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $322.61 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $322.61 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $322.61 | ↑ +0% |
| VACCN | ALL PRODUCTS | $322.61 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $338.74 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $387.13 | ↑ +20% |
| HORIZON | PIP | $835.88 | ↑ +159% |
| HORIZON | WORKERS COMP | $862.72 | ↑ +167% |
| HORIZON | OMNIA | $927.18 | ↑ +187% |
| BERGEN RISK | ALL PRODUCTS | $963.00 | ↑ +199% |
| AETNA | ASA | $1,005.37 | ↑ +212% |
| CIGNA | BH | $1,027.20 | ↑ +218% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,091.40 | ↑ +238% |
| HORIZON | SHP | $1,102.19 | ↑ +242% |
| AMERIHEALTH | LOCAL HMO | $1,115.03 | ↑ +246% |
| HORIZON | INDEMNITY | $1,142.76 | ↑ +254% |
| HORIZON | HMO | $1,143.53 | ↑ +254% |
| QUALCARE | WORKERS COMP | $1,165.87 | ↑ +261% |
| QUALCARE | PPO | $1,165.87 | ↑ +261% |
| HORIZON | PPO | $1,173.83 | ↑ +264% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +269% |
| AMERIHEALTH | REGIONAL HMO | $1,262.94 | ↑ +291% |
| QUALCARE | HMO | $1,525.00 | ↑ +373% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↑ +420% |
| CIGNA | HMO | $2,249.00 | ↑ +597% |
| CIGNA | PPO | $2,518.00 | ↑ +681% |
| OXFORD | ALL PRODUCTS | $2,837.00 | ↑ +779% |
| UNITED HEALTHCARE | HMO | $3,352.00 | ↑ +939% |
| AETNA | PPO | $9,383.00 | ↑ +2808% |
| AETNA | HMO | $9,383.00 | ↑ +2808% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +2979% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $326.73 | $326.73 – $392.08 |
| Hackensack University Medical Center | Hackensack | $347.63 | $77.58 – $365.02 |
| Ocean University Medical Center | Brick | $322.61 | $75.43 – $512.28 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $327.02 | $50.96 – $512.28 |
| Jersey Shore University Medical Center | Neptune City | $326.73 | $75.43 – $392.08 |
| Palisades Medical Center | North Bergen | $347.63 | $50.20 – $378.92 |
| Raritan Bay Medical Center | Perth Amboy | $327.02 | $63.70 – $606.70 |
| Riverview Medical Center | Red Bank | $326.73 | $75.43 – $392.08 |