Complx repair enel 2.6-7.5 cm 13152 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$668.98
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.
?
What you pay up front if you don't use insurance.
$1,925.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$346.50 with CLOVER vs $8,077.00 with HORIZON — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $346.50 | ↓ -48% |
| AETNA | MANAGED MEDICAID | $356.13 | ↓ -47% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $394.63 | ↓ -41% |
| VACCN | ALL PRODUCTS | $668.98 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $668.98 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $668.98 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $668.98 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $688.13 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $702.43 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $729.19 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $802.78 | ↑ +20% |
| HORIZON | PIP | $1,253.18 | ↑ +87% |
| HORIZON | WORKERS COMP | $1,293.41 | ↑ +93% |
| OXFORD | ALL PRODUCTS | $1,368.48 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $1,495.34 | ↑ +124% |
| AETNA | ASA | $1,507.28 | ↑ +125% |
| CIGNA | BH | $1,540.00 | ↑ +130% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,636.25 | ↑ +145% |
| QUALCARE | WORKERS COMP | $1,747.90 | ↑ +161% |
| QUALCARE | PPO | $1,747.90 | ↑ +161% |
| QUALCARE | HMO | $1,747.90 | ↑ +161% |
| HORIZON | SHP | $7,264.00 | ↑ +986% |
| HORIZON | INDEMNITY | $7,867.00 | ↑ +1076% |
| HORIZON | HMO | $7,869.00 | ↑ +1076% |
| HORIZON | PPO | $8,077.00 | ↑ +1107% |
| AETNA | HMO | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | OMNIA | not published by hospital | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | not published by hospital | — |
| BERGEN RISK | ALL PRODUCTS | not published by hospital | — |
| AMERIHEALTH | REGIONAL HMO | not published by hospital | — |
| AMERIHEALTH | LOCAL HMO | not published by hospital | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| AETNA | PPO | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Complx repair enel 2.6-7.5 cm 13152 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $677.54 | $368.00 – $813.05 |
| Hackensack University Medical Center | Hackensack | $720.88 | $576.70 – $756.93 |
| Ocean University Medical Center | Brick | $668.98 | $368.00 – $802.78 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $678.13 | $427.60 – $711.07 |
| Jersey Shore University Medical Center | Neptune City | $677.54 | $677.54 – $813.05 |
| Palisades Medical Center | North Bergen | $720.88 | $711.07 – $785.76 |
| Raritan Bay Medical Center | Perth Amboy | $678.13 | $534.50 – $813.76 |
| Riverview Medical Center | Red Bank | $677.54 | $368.00 – $813.05 |