Asp core fat pad at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$217.16
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.
$4,804.00
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.
$217.16 with HORIZON BCBS BRAVEN 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 |
|---|---|---|---|
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $217.16 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $217.16 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $217.16 | ↑ +0% |
| VACCN | ALL PRODUCTS | $217.16 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $228.01 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $236.70 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $260.59 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $864.72 | ↑ +298% |
| AETNA | MANAGED MEDICAID | $888.74 | ↑ +309% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $984.82 | ↑ +353% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +448% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↑ +673% |
| OXFORD | ALL PRODUCTS | $2,837.00 | ↑ +1206% |
| HORIZON | PIP | $3,127.40 | ↑ +1340% |
| HORIZON | WORKERS COMP | $3,227.81 | ↑ +1386% |
| UNITED HEALTHCARE | HMO | $3,352.00 | ↑ +1444% |
| HORIZON | OMNIA | $3,468.97 | ↑ +1497% |
| BERGEN RISK | ALL PRODUCTS | $3,603.00 | ↑ +1559% |
| AETNA | ASA | $3,761.53 | ↑ +1632% |
| CIGNA | BH | $3,843.20 | ↑ +1670% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,083.40 | ↑ +1780% |
| HORIZON | SHP | $4,123.75 | ↑ +1799% |
| AMERIHEALTH | LOCAL HMO | $4,171.79 | ↑ +1821% |
| HORIZON | INDEMNITY | $4,275.56 | ↑ +1869% |
| HORIZON | HMO | $4,278.44 | ↑ +1870% |
| CIGNA | HMO | $4,318.32 | ↑ +1889% |
| CIGNA | PPO | $4,318.32 | ↑ +1889% |
| QUALCARE | PPO | $4,362.03 | ↑ +1909% |
| QUALCARE | WORKERS COMP | $4,362.03 | ↑ +1909% |
| QUALCARE | HMO | $4,362.03 | ↑ +1909% |
| HORIZON | PPO | $4,391.82 | ↑ +1922% |
| AMERIHEALTH | REGIONAL HMO | $4,725.21 | ↑ +2076% |
| AETNA | HMO | $9,383.00 | ↑ +4221% |
| AETNA | PPO | $9,383.00 | ↑ +4221% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +4474% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Asp core fat pad at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $219.93 | $219.93 – $263.92 |
| Hackensack University Medical Center | Hackensack | $234.00 | $187.20 – $245.70 |
| Ocean University Medical Center | Brick | $217.16 | $198.70 – $260.59 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $220.12 | $198.70 – $220.12 |
| Jersey Shore University Medical Center | Neptune City | $219.93 | $219.93 – $263.92 |
| Palisades Medical Center | North Bergen | $234.00 | $234.00 – $255.06 |
| Raritan Bay Medical Center | Perth Amboy | $220.12 | $220.12 – $264.15 |
| Riverview Medical Center | Red Bank | $219.93 | $219.93 – $263.92 |