Colonoscopy w/decompression at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$996.39
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.
$2,955.00
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.
$468.15 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 | $468.15 | ↓ -53% |
| CLOVER | MEDICARE ADVANTAGE | $531.90 | ↓ -47% |
| AETNA | MANAGED MEDICAID | $546.68 | ↓ -45% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $605.78 | ↓ -39% |
| WELLCARE | MANAGED MEDICAID | $996.39 | ↑ +0% |
| VACCN | ALL PRODUCTS | $996.39 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $996.39 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $996.39 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,046.21 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,086.06 | ↑ +9% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $1,195.67 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↑ +69% |
| HORIZON | PIP | $1,923.71 | ↑ +93% |
| HORIZON | WORKERS COMP | $1,985.46 | ↑ +99% |
| HORIZON | OMNIA | $2,133.81 | ↑ +114% |
| BERGEN RISK | ALL PRODUCTS | $2,216.25 | ↑ +122% |
| AETNA | ASA | $2,313.77 | ↑ +132% |
| CIGNA | BH | $2,364.00 | ↑ +137% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,511.75 | ↑ +152% |
| HORIZON | SHP | $2,536.57 | ↑ +155% |
| AMERIHEALTH | LOCAL HMO | $2,566.12 | ↑ +158% |
| HORIZON | INDEMNITY | $2,629.95 | ↑ +164% |
| HORIZON | HMO | $2,631.72 | ↑ +164% |
| QUALCARE | PPO | $2,683.14 | ↑ +169% |
| QUALCARE | WORKERS COMP | $2,683.14 | ↑ +169% |
| QUALCARE | HMO | $2,683.14 | ↑ +169% |
| HORIZON | PPO | $2,701.46 | ↑ +171% |
| AMERIHEALTH | REGIONAL HMO | $2,906.54 | ↑ +192% |
| CIGNA | HMO | $4,412.00 | ↑ +343% |
| CIGNA | PPO | $4,941.00 | ↑ +396% |
| OXFORD | ALL PRODUCTS | $6,189.00 | ↑ +521% |
| UNITED HEALTHCARE | HMO | $7,601.00 | ↑ +663% |
| AETNA | PPO | $9,383.00 | ↑ +842% |
| AETNA | HMO | $9,383.00 | ↑ +842% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +897% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Colonoscopy w/decompression at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,009.14 | $1,009.14 – $1,210.96 |
| Hackensack University Medical Center | Hackensack | $1,073.68 | $482.24 – $1,127.37 |
| Ocean University Medical Center | Brick | $996.39 | $468.15 – $1,195.67 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,010.01 | $271.28 – $1,010.01 |
| Jersey Shore University Medical Center | Neptune City | $1,009.14 | $468.15 – $1,210.96 |
| Palisades Medical Center | North Bergen | $1,073.68 | $267.21 – $1,170.32 |
| Raritan Bay Medical Center | Perth Amboy | $1,010.01 | $482.24 – $1,212.01 |
| Riverview Medical Center | Red Bank | $1,009.14 | $468.15 – $1,210.96 |