Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$768.94
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.
$3,025.00
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.
$147.64 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 | $147.64 | ↓ -81% |
| CLOVER | MEDICARE ADVANTAGE | $544.50 | ↓ -29% |
| AETNA | MANAGED MEDICAID | $559.63 | ↓ -27% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $620.13 | ↓ -19% |
| VACCN | ALL PRODUCTS | $768.94 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $768.94 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $768.94 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $768.94 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $807.39 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $838.14 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $922.73 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,781.73 | ↑ +132% |
| HORIZON | MANAGED MEDICAID | $1,917.25 | ↑ +149% |
| HORIZON | PIP | $1,969.28 | ↑ +156% |
| OXFORD | ALL PRODUCTS | $2,150.47 | ↑ +180% |
| CIGNA | HMO | $2,249.00 | ↑ +192% |
| BERGEN RISK | ALL PRODUCTS | $2,268.75 | ↑ +195% |
| UNITED HEALTHCARE | HMO | $2,349.82 | ↑ +206% |
| AETNA | ASA | $2,368.58 | ↑ +208% |
| CIGNA | BH | $2,420.00 | ↑ +215% |
| CIGNA | PPO | $2,518.00 | ↑ +227% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,571.25 | ↑ +234% |
| AMERIHEALTH | LOCAL HMO | $2,626.91 | ↑ +242% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $2,722.50 | ↑ +254% |
| AETNA | HMO | $2,723.11 | ↑ +254% |
| AETNA | PPO | $2,723.11 | ↑ +254% |
| QUALCARE | HMO | $2,746.70 | ↑ +257% |
| QUALCARE | PPO | $2,746.70 | ↑ +257% |
| QUALCARE | WORKERS COMP | $2,746.70 | ↑ +257% |
| AMERIHEALTH | REGIONAL HMO | $2,975.39 | ↑ +287% |
| HORIZON | OMNIA | $6,368.00 | ↑ +728% |
| HORIZON | SHP | $7,264.00 | ↑ +845% |
| HORIZON | INDEMNITY | $7,867.00 | ↑ +923% |
| HORIZON | HMO | $7,869.00 | ↑ +923% |
| HORIZON | PPO | $8,077.00 | ↑ +950% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +1220% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $778.78 | $778.78 – $934.53 |
| Hackensack University Medical Center | Hackensack | $828.59 | $151.62 – $870.02 |
| Ocean University Medical Center | Brick | $768.94 | $147.64 – $922.73 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $779.45 | $151.62 – $779.45 |
| Jersey Shore University Medical Center | Neptune City | $778.78 | $147.64 – $934.53 |
| Palisades Medical Center | North Bergen | $828.59 | $151.62 – $903.16 |
| Raritan Bay Medical Center | Perth Amboy | $779.45 | $151.62 – $935.34 |
| Riverview Medical Center | Red Bank | $778.78 | $147.64 – $934.53 |