Closure paravalvlr leak pq at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$675.68
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.
$1,989.00
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.
$358.02 with CLOVER 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $358.02 | ↓ -47% |
| AETNA | MANAGED MEDICAID | $367.97 | ↓ -46% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $407.75 | ↓ -40% |
| VACCN | ALL PRODUCTS | $675.68 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $675.68 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $675.68 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $675.68 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $709.47 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $736.50 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $810.82 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +76% |
| HORIZON | PIP | $1,294.84 | ↑ +92% |
| HORIZON | WORKERS COMP | $1,336.41 | ↑ +98% |
| HORIZON | OMNIA | $1,436.26 | ↑ +113% |
| BERGEN RISK | ALL PRODUCTS | $1,491.75 | ↑ +121% |
| QUALCARE | HMO | $1,525.00 | ↑ +126% |
| AETNA | ASA | $1,557.39 | ↑ +130% |
| CIGNA | BH | $1,591.20 | ↑ +135% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↑ +148% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,690.65 | ↑ +150% |
| HORIZON | SHP | $1,707.36 | ↑ +153% |
| AMERIHEALTH | LOCAL HMO | $1,727.25 | ↑ +156% |
| HORIZON | INDEMNITY | $1,770.21 | ↑ +162% |
| HORIZON | HMO | $1,771.40 | ↑ +162% |
| CIGNA | PPO | $1,787.91 | ↑ +165% |
| CIGNA | HMO | $1,787.91 | ↑ +165% |
| QUALCARE | PPO | $1,806.01 | ↑ +167% |
| QUALCARE | WORKERS COMP | $1,806.01 | ↑ +167% |
| HORIZON | PPO | $1,818.34 | ↑ +169% |
| AMERIHEALTH | REGIONAL HMO | $1,956.38 | ↑ +190% |
| OXFORD | ALL PRODUCTS | $4,125.00 | ↑ +510% |
| UNITED HEALTHCARE | HMO | $4,986.00 | ↑ +638% |
| AETNA | PPO | $9,383.00 | ↑ +1289% |
| AETNA | HMO | $9,383.00 | ↑ +1289% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1370% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Closure paravalvlr leak pq at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $684.33 | $684.33 – $821.19 |
| Hackensack University Medical Center | Hackensack | $728.10 | $582.48 – $764.51 |
| Ocean University Medical Center | Brick | $675.68 | $618.26 – $810.82 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $684.92 | $618.26 – $684.92 |
| Jersey Shore University Medical Center | Neptune City | $684.33 | $684.33 – $821.19 |
| Palisades Medical Center | North Bergen | $728.10 | $728.10 – $793.63 |
| Raritan Bay Medical Center | Perth Amboy | $684.92 | $684.92 – $821.90 |
| Riverview Medical Center | Red Bank | $684.33 | $684.33 – $821.19 |