Circumcise/surg/28 days or < 54160 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$729.46
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.
$5,294.00
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.
$254.46 with AETNA vs $10,149.00 with HORIZON — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $254.46 | ↓ -65% |
| KARNA | MEDICARE ADVANTAGE | $299.76 | ↓ -59% |
| WELLCARE | MANAGED MEDICAID | $729.46 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $729.46 | ↑ +0% |
| VACCN | ALL PRODUCTS | $729.46 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $729.46 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $765.94 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $795.12 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $875.36 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $952.92 | ↑ +31% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,085.27 | ↑ +49% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $3,118.17 | ↑ +327% |
| CIGNA | HMO | $3,133.00 | ↑ +329% |
| HORIZON | MANAGED MEDICAID | $3,355.34 | ↑ +360% |
| HORIZON | PIP | $3,446.39 | ↑ +372% |
| CIGNA | PPO | $3,508.00 | ↑ +381% |
| OXFORD | ALL PRODUCTS | $3,763.50 | ↑ +416% |
| BERGEN RISK | ALL PRODUCTS | $3,970.50 | ↑ +444% |
| UNITED HEALTHCARE | HMO | $4,112.38 | ↑ +464% |
| AETNA | ASA | $4,145.20 | ↑ +468% |
| CIGNA | BH | $4,235.20 | ↑ +481% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,499.90 | ↑ +517% |
| AMERIHEALTH | LOCAL HMO | $4,597.31 | ↑ +530% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $4,764.60 | ↑ +553% |
| AETNA | PPO | $4,765.66 | ↑ +553% |
| AETNA | HMO | $4,765.66 | ↑ +553% |
| QUALCARE | HMO | $4,806.95 | ↑ +559% |
| QUALCARE | PPO | $4,806.95 | ↑ +559% |
| QUALCARE | WORKERS COMP | $4,806.95 | ↑ +559% |
| AMERIHEALTH | REGIONAL HMO | $5,207.18 | ↑ +614% |
| HORIZON | OMNIA | $6,368.00 | ↑ +773% |
| HORIZON | SHP | $7,264.00 | ↑ +896% |
| HORIZON | INDEMNITY | $7,867.00 | ↑ +978% |
| HORIZON | HMO | $7,869.00 | ↑ +979% |
| HORIZON | PPO | $8,077.00 | ↑ +1007% |
| HORIZON | WORKERS COMP | $10,149.00 | ↑ +1291% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Circumcise/surg/28 days or < 54160 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $738.80 | $254.46 – $886.55 |
| Hackensack University Medical Center | Hackensack | $786.05 | $309.08 – $825.36 |
| Ocean University Medical Center | Brick | $729.46 | $254.46 – $875.36 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $739.44 | $140.00 – $739.44 |
| Jersey Shore University Medical Center | Neptune City | $738.80 | $254.46 – $886.55 |
| Palisades Medical Center | North Bergen | $786.05 | $137.90 – $856.80 |
| Raritan Bay Medical Center | Perth Amboy | $739.44 | $175.00 – $887.32 |
| Riverview Medical Center | Red Bank | $738.80 | $254.46 – $886.55 |