Bronch thermoplsty 1 lobe at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$7,565.43
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.
?
What you pay up front if you don't use insurance.
$10,941.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$378.54 with KARNA vs $10,761.57 with AMERIHEALTH — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $378.54 | ↓ -95% |
| CLOVER | MEDICARE ADVANTAGE | $1,969.38 | ↓ -74% |
| AETNA | MANAGED MEDICAID | $2,024.09 | ↓ -73% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,242.91 | ↓ -70% |
| HORIZON | OMNIA | $6,368.00 | ↓ -16% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $6,444.25 | ↓ -15% |
| HORIZON | MANAGED MEDICAID | $6,934.41 | ↓ -8% |
| HORIZON | PIP | $7,122.59 | ↓ -6% |
| HORIZON | SHP | $7,264.00 | ↓ -4% |
| WELLCARE | MEDICARE ADVANTAGE | $7,565.43 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $7,565.43 | ↑ +0% |
| VACCN | ALL PRODUCTS | $7,565.43 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $7,565.43 | ↑ +0% |
| OXFORD | ALL PRODUCTS | $7,777.96 | ↑ +3% |
| HORIZON | INDEMNITY | $7,867.00 | ↑ +4% |
| HORIZON | HMO | $7,869.00 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $7,943.70 | ↑ +5% |
| HORIZON | PPO | $8,077.00 | ↑ +7% |
| BERGEN RISK | ALL PRODUCTS | $8,205.75 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $8,246.32 | ↑ +9% |
| UNITED HEALTHCARE | HMO | $8,498.97 | ↑ +12% |
| AETNA | ASA | $8,566.80 | ↑ +13% |
| CIGNA | BH | $8,752.80 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $9,078.51 | ↑ +20% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $9,299.85 | ↑ +23% |
| AMERIHEALTH | LOCAL HMO | $9,501.16 | ↑ +26% |
| CIGNA | PPO | $9,834.86 | ↑ +30% |
| CIGNA | HMO | $9,834.86 | ↑ +30% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,846.90 | ↑ +30% |
| AETNA | HMO | $9,849.09 | ↑ +30% |
| AETNA | PPO | $9,849.09 | ↑ +30% |
| QUALCARE | WORKERS COMP | $9,934.43 | ↑ +31% |
| QUALCARE | HMO | $9,934.43 | ↑ +31% |
| QUALCARE | PPO | $9,934.43 | ↑ +31% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +34% |
| AMERIHEALTH | REGIONAL HMO | $10,761.57 | ↑ +42% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Bronch thermoplsty 1 lobe at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $7,662.21 | $7,662.21 – $9,194.65 |
| Hackensack University Medical Center | Hackensack | $8,152.32 | $388.68 – $8,559.93 |
| Ocean University Medical Center | Brick | $7,565.43 | $378.54 – $9,078.51 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $7,668.85 | $190.76 – $7,668.85 |
| Jersey Shore University Medical Center | Neptune City | $7,662.21 | $378.54 – $9,194.65 |
| Palisades Medical Center | North Bergen | $8,152.32 | $187.90 – $8,886.02 |
| Raritan Bay Medical Center | Perth Amboy | $7,668.85 | $238.45 – $9,202.62 |
| Riverview Medical Center | Red Bank | $7,662.21 | $378.54 – $9,194.65 |