Block brachial plexus w/cath plmt w/img 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.
$2,328.00
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.
$154.82 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 | $154.82 | ↓ -84% |
| CLOVER | MEDICARE ADVANTAGE | $419.04 | ↓ -57% |
| AETNA | MANAGED MEDICAID | $430.68 | ↓ -56% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $477.24 | ↓ -51% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $972.98 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $972.98 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $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% |
| HORIZON | PIP | $1,515.53 | ↑ +56% |
| QUALCARE | HMO | $1,525.00 | ↑ +57% |
| HORIZON | WORKERS COMP | $1,564.18 | ↑ +61% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↑ +73% |
| HORIZON | OMNIA | $1,681.05 | ↑ +73% |
| BERGEN RISK | ALL PRODUCTS | $1,746.00 | ↑ +79% |
| AETNA | ASA | $1,822.82 | ↑ +87% |
| CIGNA | BH | $1,862.40 | ↑ +91% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,978.80 | ↑ +103% |
| HORIZON | SHP | $1,998.36 | ↑ +105% |
| AMERIHEALTH | LOCAL HMO | $2,021.64 | ↑ +108% |
| HORIZON | INDEMNITY | $2,071.92 | ↑ +113% |
| HORIZON | HMO | $2,073.32 | ↑ +113% |
| QUALCARE | PPO | $2,113.82 | ↑ +117% |
| QUALCARE | WORKERS COMP | $2,113.82 | ↑ +117% |
| HORIZON | PPO | $2,128.26 | ↑ +119% |
| CIGNA | HMO | $2,249.00 | ↑ +131% |
| AMERIHEALTH | REGIONAL HMO | $2,289.82 | ↑ +135% |
| CIGNA | PPO | $2,518.00 | ↑ +159% |
| 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
Block brachial plexus w/cath plmt w/img 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 | $158.42 – $1,100.88 |
| Ocean University Medical Center | Brick | $972.98 | $154.82 – $1,167.58 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $986.28 | $158.42 – $986.28 |
| Jersey Shore University Medical Center | Neptune City | $985.43 | $154.82 – $1,182.51 |
| Palisades Medical Center | North Bergen | $1,048.46 | $158.42 – $1,142.82 |
| Raritan Bay Medical Center | Perth Amboy | $986.28 | $158.42 – $1,183.54 |
| Riverview Medical Center | Red Bank | $985.43 | $154.82 – $1,182.51 |