Arthrp w/prostc dst rds&crps at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$20,098.12
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.
not published by hospital
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.
$2,444.68 with KARNA vs $24,117.74 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 | $2,444.68 | ↓ -88% |
| WELLCARE | MANAGED MEDICAID | $20,098.12 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $20,098.12 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $20,098.12 | ↑ +0% |
| VACCN | ALL PRODUCTS | $20,098.12 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $21,103.02 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $21,906.95 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $24,117.74 | ↑ +20% |
Visitor-reported prices
Comments
Arthrp w/prostc dst rds&crps at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $20,355.21 | $20,355.21 – $24,426.25 |
| Hackensack University Medical Center | Hackensack | $21,657.23 | $2,524.43 – $22,740.09 |
| Ocean University Medical Center | Brick | $20,098.12 | $2,444.68 – $31,883.09 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $20,372.87 | $1,208.00 – $31,883.09 |
| Jersey Shore University Medical Center | Neptune City | $20,355.21 | $2,444.68 – $24,426.25 |
| Palisades Medical Center | North Bergen | $21,657.23 | $2,524.43 – $23,606.38 |
| Raritan Bay Medical Center | Perth Amboy | $20,372.87 | $2,524.43 – $24,447.44 |
| Riverview Medical Center | Red Bank | $20,355.21 | $2,444.68 – $24,426.25 |