Aspirate pleura without imaging 32554 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$675.68
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.
$2,012.00
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.
$178.13 with KARNA vs $10,149.00 with HORIZON — 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 | $178.13 | ↓ -74% |
| CLOVER | MEDICARE ADVANTAGE | $362.16 | ↓ -46% |
| AETNA | MANAGED MEDICAID | $372.22 | ↓ -45% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $412.46 | ↓ -39% |
| VACCN | ALL PRODUCTS | $675.68 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $675.68 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $675.68 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $675.68 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $709.47 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $736.50 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $810.82 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,185.07 | ↑ +75% |
| HORIZON | MANAGED MEDICAID | $1,275.21 | ↑ +89% |
| HORIZON | PIP | $1,309.81 | ↑ +94% |
| OXFORD | ALL PRODUCTS | $1,430.33 | ↑ +112% |
| BERGEN RISK | ALL PRODUCTS | $1,509.00 | ↑ +123% |
| UNITED HEALTHCARE | HMO | $1,562.92 | ↑ +131% |
| AETNA | ASA | $1,575.40 | ↑ +133% |
| CIGNA | BH | $1,609.60 | ↑ +138% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,710.20 | ↑ +153% |
| AMERIHEALTH | LOCAL HMO | $1,747.22 | ↑ +159% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,810.80 | ↑ +168% |
| AETNA | HMO | $1,811.20 | ↑ +168% |
| AETNA | PPO | $1,811.20 | ↑ +168% |
| QUALCARE | HMO | $1,826.90 | ↑ +170% |
| QUALCARE | PPO | $1,826.90 | ↑ +170% |
| QUALCARE | WORKERS COMP | $1,826.90 | ↑ +170% |
| AMERIHEALTH | REGIONAL HMO | $1,979.00 | ↑ +193% |
| CIGNA | HMO | $2,249.00 | ↑ +233% |
| CIGNA | PPO | $2,518.00 | ↑ +273% |
| HORIZON | OMNIA | $6,368.00 | ↑ +842% |
| HORIZON | SHP | $7,264.00 | ↑ +975% |
| HORIZON | INDEMNITY | $7,867.00 | ↑ +1064% |
| HORIZON | HMO | $7,869.00 | ↑ +1065% |
| HORIZON | PPO | $8,077.00 | ↑ +1095% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +1402% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Aspirate pleura without imaging 32554 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $684.33 | $684.33 – $821.19 |
| Hackensack University Medical Center | Hackensack | $728.10 | $182.67 – $764.51 |
| Ocean University Medical Center | Brick | $675.68 | $178.13 – $810.82 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $684.92 | $182.67 – $684.92 |
| Jersey Shore University Medical Center | Neptune City | $684.33 | $178.13 – $821.19 |
| Palisades Medical Center | North Bergen | $728.10 | $182.67 – $793.63 |
| Raritan Bay Medical Center | Perth Amboy | $684.92 | $182.67 – $827.80 |
| Riverview Medical Center | Red Bank | $684.33 | $178.13 – $821.19 |