Biospy of bladder at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$265.80
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.
$545.00
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.
$98.10 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 | $98.10 | ↓ -63% |
| AETNA | MANAGED MEDICAID | $100.83 | ↓ -62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $111.73 | ↓ -58% |
| VACCN | ALL PRODUCTS | $265.80 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $265.80 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $265.80 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $265.80 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $279.09 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $289.72 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $318.96 | ↑ +20% |
| HORIZON | PIP | $354.80 | ↑ +33% |
| HORIZON | WORKERS COMP | $366.19 | ↑ +38% |
| HORIZON | OMNIA | $393.54 | ↑ +48% |
| BERGEN RISK | ALL PRODUCTS | $408.75 | ↑ +54% |
| AETNA | ASA | $426.74 | ↑ +61% |
| CIGNA | BH | $436.00 | ↑ +64% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $463.25 | ↑ +74% |
| HORIZON | SHP | $467.83 | ↑ +76% |
| AMERIHEALTH | LOCAL HMO | $473.28 | ↑ +78% |
| HORIZON | INDEMNITY | $485.05 | ↑ +82% |
| HORIZON | HMO | $485.38 | ↑ +83% |
| CIGNA | HMO | $489.90 | ↑ +84% |
| CIGNA | PPO | $489.90 | ↑ +84% |
| QUALCARE | PPO | $494.86 | ↑ +86% |
| QUALCARE | WORKERS COMP | $494.86 | ↑ +86% |
| HORIZON | PPO | $498.24 | ↑ +87% |
| AMERIHEALTH | REGIONAL HMO | $536.06 | ↑ +102% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +347% |
| QUALCARE | HMO | $1,525.00 | ↑ +474% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↑ +532% |
| OXFORD | ALL PRODUCTS | $2,837.00 | ↑ +967% |
| UNITED HEALTHCARE | HMO | $3,352.00 | ↑ +1161% |
| AETNA | HMO | $9,383.00 | ↑ +3430% |
| AETNA | PPO | $9,383.00 | ↑ +3430% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +3637% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Biospy of bladder at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $269.20 | $269.20 – $323.04 |
| Hackensack University Medical Center | Hackensack | $286.42 | $229.13 – $300.74 |
| Ocean University Medical Center | Brick | $265.80 | $243.21 – $318.96 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $269.43 | $243.21 – $269.43 |
| Jersey Shore University Medical Center | Neptune City | $269.20 | $269.20 – $323.04 |
| Palisades Medical Center | North Bergen | $286.42 | $286.42 – $312.20 |
| Raritan Bay Medical Center | Perth Amboy | $269.43 | $269.43 – $323.32 |
| Riverview Medical Center | Red Bank | $269.20 | $269.20 – $323.04 |