Bx/exc xdrl spine lesn lmbr at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
not published by hospital
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.
$4,830.00
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.
$869.40 with CLOVER vs $27,214.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $869.40 | — |
| AETNA | MANAGED MEDICAID | $893.55 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $990.15 | — |
| AETNA | MEDICARE ADVANTAGE | $1,009.47 | — |
| QUALCARE | HMO | $1,525.00 | — |
| HORIZON | MANAGED MEDICAID | $1,679.00 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | — |
| HORIZON | PIP | $3,144.33 | — |
| HORIZON | WORKERS COMP | $3,245.28 | — |
| KARNA | MEDICARE ADVANTAGE | $3,274.52 | — |
| HORIZON | OMNIA | $3,487.74 | — |
| BERGEN RISK | ALL PRODUCTS | $3,622.50 | — |
| AETNA | ASA | $3,781.89 | — |
| CIGNA | BH | $3,864.00 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,105.50 | — |
| HORIZON | SHP | $4,146.07 | — |
| AMERIHEALTH | LOCAL HMO | $4,194.37 | — |
| HORIZON | INDEMNITY | $4,298.70 | — |
| HORIZON | HMO | $4,301.60 | — |
| CIGNA | HMO | $4,341.69 | — |
| CIGNA | PPO | $4,341.69 | — |
| QUALCARE | PPO | $4,385.64 | — |
| QUALCARE | WORKERS COMP | $4,385.64 | — |
| HORIZON | PPO | $4,415.59 | — |
| AMERIHEALTH | REGIONAL HMO | $4,750.79 | — |
| AETNA | PPO | $9,383.00 | — |
| AETNA | HMO | $9,383.00 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | — |
| OXFORD | ALL PRODUCTS | $21,659.00 | — |
| UNITED HEALTHCARE | HMO | $27,214.00 | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Bx/exc xdrl spine lesn lmbr at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | not published | not published |
| Hackensack University Medical Center | Hackensack | not published | $3,359.59 – $3,359.59 |
| Ocean University Medical Center | Brick | not published | $3,274.52 – $3,274.52 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | not published | $1,390.00 – $3,359.59 |
| Jersey Shore University Medical Center | Neptune City | not published | $3,274.52 – $3,274.52 |
| Palisades Medical Center | North Bergen | not published | $3,359.59 – $3,359.59 |
| Raritan Bay Medical Center | Perth Amboy | not published | $3,359.59 – $3,359.59 |
| Riverview Medical Center | Red Bank | not published | $3,274.52 – $3,274.52 |