Asp pq spinal cord cyst/syrinx at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$972.98
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.
$2,660.00
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.
$478.80 with CLOVER 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $478.80 | ↓ -51% |
| AETNA | MANAGED MEDICAID | $492.10 | ↓ -49% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $545.30 | ↓ -44% |
| KARNA | MEDICARE ADVANTAGE | $686.12 | ↓ -29% |
| HORIZON | MANAGED MEDICAID | $903.00 | ↓ -7% |
| WELLCARE | MEDICARE ADVANTAGE | $972.98 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $972.98 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $972.98 | ↑ +0% |
| VACCN | ALL PRODUCTS | $972.98 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,021.63 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,060.55 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,167.58 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +22% |
| QUALCARE | HMO | $1,525.00 | ↑ +57% |
| HORIZON | PIP | $1,731.66 | ↑ +78% |
| HORIZON | WORKERS COMP | $1,787.25 | ↑ +84% |
| HORIZON | OMNIA | $1,920.79 | ↑ +97% |
| BERGEN RISK | ALL PRODUCTS | $1,995.00 | ↑ +105% |
| AETNA | ASA | $2,082.78 | ↑ +114% |
| CIGNA | BH | $2,128.00 | ↑ +119% |
| CIGNA | HMO | $2,249.00 | ↑ +131% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,261.00 | ↑ +132% |
| HORIZON | SHP | $2,283.34 | ↑ +135% |
| AMERIHEALTH | LOCAL HMO | $2,309.94 | ↑ +137% |
| HORIZON | INDEMNITY | $2,367.40 | ↑ +143% |
| HORIZON | HMO | $2,369.00 | ↑ +143% |
| QUALCARE | PPO | $2,415.28 | ↑ +148% |
| QUALCARE | WORKERS COMP | $2,415.28 | ↑ +148% |
| HORIZON | PPO | $2,431.77 | ↑ +150% |
| CIGNA | PPO | $2,518.00 | ↑ +159% |
| AMERIHEALTH | REGIONAL HMO | $2,616.38 | ↑ +169% |
| OXFORD | ALL PRODUCTS | $4,125.00 | ↑ +324% |
| UNITED HEALTHCARE | HMO | $4,986.00 | ↑ +412% |
| AETNA | PPO | $9,383.00 | ↑ +864% |
| AETNA | HMO | $9,383.00 | ↑ +864% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +921% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Asp pq spinal cord cyst/syrinx at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $985.43 | $985.43 – $1,182.51 |
| Hackensack University Medical Center | Hackensack | $1,048.46 | $702.07 – $1,100.88 |
| Ocean University Medical Center | Brick | $972.98 | $686.12 – $1,167.58 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $986.28 | $702.07 – $986.28 |
| Jersey Shore University Medical Center | Neptune City | $985.43 | $686.12 – $1,182.51 |
| Palisades Medical Center | North Bergen | $1,048.46 | $702.07 – $1,142.82 |
| Raritan Bay Medical Center | Perth Amboy | $986.28 | $702.07 – $1,183.54 |
| Riverview Medical Center | Red Bank | $985.43 | $686.12 – $1,182.51 |