Biopsy conjunctiva at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$2,549.65
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.
$5,223.00
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.
$195.99 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $195.99 | ↓ -92% |
| CLOVER | MEDICARE ADVANTAGE | $940.14 | ↓ -63% |
| AETNA | MANAGED MEDICAID | $966.26 | ↓ -62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,070.72 | ↓ -58% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -53% |
| QUALCARE | HMO | $1,525.00 | ↓ -40% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↓ -34% |
| WELLCARE | MANAGED MEDICAID | $2,549.65 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,549.65 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,549.65 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,549.65 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,677.13 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,779.11 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $3,059.57 | ↑ +20% |
| HORIZON | PIP | $3,400.17 | ↑ +33% |
| HORIZON | WORKERS COMP | $3,509.33 | ↑ +38% |
| CIGNA | HMO | $3,586.00 | ↑ +41% |
| HORIZON | OMNIA | $3,771.53 | ↑ +48% |
| BERGEN RISK | ALL PRODUCTS | $3,917.25 | ↑ +54% |
| CIGNA | PPO | $4,011.00 | ↑ +57% |
| AETNA | ASA | $4,089.61 | ↑ +60% |
| OXFORD | ALL PRODUCTS | $4,125.00 | ↑ +62% |
| CIGNA | BH | $4,178.40 | ↑ +64% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,439.55 | ↑ +74% |
| HORIZON | SHP | $4,483.42 | ↑ +76% |
| AMERIHEALTH | LOCAL HMO | $4,535.65 | ↑ +78% |
| HORIZON | INDEMNITY | $4,648.47 | ↑ +82% |
| HORIZON | HMO | $4,651.60 | ↑ +82% |
| QUALCARE | PPO | $4,742.48 | ↑ +86% |
| QUALCARE | WORKERS COMP | $4,742.48 | ↑ +86% |
| HORIZON | PPO | $4,774.87 | ↑ +87% |
| UNITED HEALTHCARE | HMO | $4,986.00 | ↑ +96% |
| AMERIHEALTH | REGIONAL HMO | $5,137.34 | ↑ +101% |
| AETNA | PPO | $9,383.00 | ↑ +268% |
| AETNA | HMO | $9,383.00 | ↑ +268% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +290% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy conjunctiva at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $2,582.26 | $2,582.26 – $3,098.71 |
| Hackensack University Medical Center | Hackensack | $2,747.43 | $203.48 – $2,884.81 |
| Ocean University Medical Center | Brick | $2,549.65 | $195.99 – $3,059.57 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,584.50 | $50.40 – $2,584.50 |
| Jersey Shore University Medical Center | Neptune City | $2,582.26 | $195.99 – $3,098.71 |
| Palisades Medical Center | North Bergen | $2,747.43 | $203.48 – $2,994.70 |
| Raritan Bay Medical Center | Perth Amboy | $2,584.50 | $203.48 – $3,101.40 |
| Riverview Medical Center | Red Bank | $2,582.26 | $195.99 – $3,098.71 |