Clearance of tear duct at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$326.69
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.
$5,651.00
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.
$0.01 with CIGNA 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 |
|---|---|---|---|
| CIGNA | PPO | $0.01 | ↓ -100% |
| CIGNA | HMO | $0.01 | ↓ -100% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $326.69 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $326.69 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $326.69 | ↑ +0% |
| VACCN | ALL PRODUCTS | $326.69 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $343.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $356.10 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $392.03 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $521.03 | ↑ +59% |
| CLOVER | MEDICARE ADVANTAGE | $1,017.18 | ↑ +211% |
| AETNA | MANAGED MEDICAID | $1,045.44 | ↑ +220% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,158.46 | ↑ +255% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +264% |
| QUALCARE | HMO | $1,525.00 | ↑ +367% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↑ +414% |
| OXFORD | ALL PRODUCTS | $2,837.00 | ↑ +768% |
| UNITED HEALTHCARE | HMO | $3,352.00 | ↑ +926% |
| HORIZON | PIP | $3,678.80 | ↑ +1026% |
| HORIZON | WORKERS COMP | $3,796.91 | ↑ +1062% |
| HORIZON | OMNIA | $4,080.59 | ↑ +1149% |
| BERGEN RISK | ALL PRODUCTS | $4,238.25 | ↑ +1197% |
| AETNA | ASA | $4,424.73 | ↑ +1254% |
| CIGNA | BH | $4,520.80 | ↑ +1284% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,803.35 | ↑ +1370% |
| HORIZON | SHP | $4,850.82 | ↑ +1385% |
| AMERIHEALTH | LOCAL HMO | $4,907.33 | ↑ +1402% |
| HORIZON | INDEMNITY | $5,029.39 | ↑ +1439% |
| HORIZON | HMO | $5,032.78 | ↑ +1441% |
| QUALCARE | PPO | $5,131.11 | ↑ +1471% |
| QUALCARE | WORKERS COMP | $5,131.11 | ↑ +1471% |
| HORIZON | PPO | $5,166.14 | ↑ +1481% |
| AMERIHEALTH | REGIONAL HMO | $5,558.32 | ↑ +1601% |
| AETNA | PPO | $9,383.00 | ↑ +2772% |
| AETNA | HMO | $9,383.00 | ↑ +2772% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +2940% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Clearance of tear duct at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $330.87 | $330.87 – $397.05 |
| Hackensack University Medical Center | Hackensack | $352.04 | $281.63 – $540.59 |
| Ocean University Medical Center | Brick | $326.69 | $298.93 – $521.03 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $331.16 | $145.20 – $540.59 |
| Jersey Shore University Medical Center | Neptune City | $330.87 | $330.87 – $521.03 |
| Palisades Medical Center | North Bergen | $352.04 | $352.04 – $540.59 |
| Raritan Bay Medical Center | Perth Amboy | $331.16 | $331.16 – $540.59 |
| Riverview Medical Center | Red Bank | $330.87 | $330.87 – $521.03 |