Bx vag mucos smpl (sep proc) at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$951.61
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.
$3,608.00
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.
$134.35 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 | $134.35 | ↓ -86% |
| CLOVER | MEDICARE ADVANTAGE | $649.44 | ↓ -32% |
| AETNA | MANAGED MEDICAID | $667.48 | ↓ -30% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $739.64 | ↓ -22% |
| WELLCARE | MANAGED MEDICAID | $951.61 | ↑ +0% |
| VACCN | ALL PRODUCTS | $951.61 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $951.61 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $951.61 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $999.20 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,037.26 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,141.94 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +25% |
| QUALCARE | HMO | $1,525.00 | ↑ +60% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↑ +76% |
| CIGNA | HMO | $2,249.00 | ↑ +136% |
| HORIZON | PIP | $2,348.81 | ↑ +147% |
| HORIZON | WORKERS COMP | $2,424.22 | ↑ +155% |
| CIGNA | PPO | $2,518.00 | ↑ +165% |
| HORIZON | OMNIA | $2,605.34 | ↑ +174% |
| BERGEN RISK | ALL PRODUCTS | $2,706.00 | ↑ +184% |
| AETNA | ASA | $2,825.06 | ↑ +197% |
| CIGNA | BH | $2,886.40 | ↑ +203% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,066.80 | ↑ +222% |
| HORIZON | SHP | $3,097.11 | ↑ +225% |
| AMERIHEALTH | LOCAL HMO | $3,133.19 | ↑ +229% |
| HORIZON | INDEMNITY | $3,211.12 | ↑ +237% |
| HORIZON | HMO | $3,213.28 | ↑ +238% |
| QUALCARE | PPO | $3,276.06 | ↑ +244% |
| QUALCARE | WORKERS COMP | $3,276.06 | ↑ +244% |
| HORIZON | PPO | $3,298.43 | ↑ +247% |
| AMERIHEALTH | REGIONAL HMO | $3,548.83 | ↑ +273% |
| OXFORD | ALL PRODUCTS | $4,125.00 | ↑ +333% |
| UNITED HEALTHCARE | HMO | $4,986.00 | ↑ +424% |
| AETNA | PPO | $9,383.00 | ↑ +886% |
| AETNA | HMO | $9,383.00 | ↑ +886% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +944% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Bx vag mucos smpl (sep proc) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $963.79 | $963.79 – $1,156.54 |
| Hackensack University Medical Center | Hackensack | $1,025.44 | $137.96 – $1,076.71 |
| Ocean University Medical Center | Brick | $951.61 | $134.35 – $1,141.94 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $964.62 | $44.80 – $964.62 |
| Jersey Shore University Medical Center | Neptune City | $963.79 | $134.35 – $1,156.54 |
| Palisades Medical Center | North Bergen | $1,025.44 | $137.96 – $1,117.72 |
| Raritan Bay Medical Center | Perth Amboy | $964.62 | $137.96 – $1,157.55 |
| Riverview Medical Center | Red Bank | $963.79 | $134.35 – $1,156.54 |