Cystoscopy and treatment at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$5,555.79
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.
$9,185.00
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.
$790.56 with KARNA vs $15,984.00 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $790.56 | ↓ -86% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -79% |
| HORIZON | MANAGED MEDICAID | $1,361.00 | ↓ -76% |
| CLOVER | MEDICARE ADVANTAGE | $1,653.30 | ↓ -70% |
| AETNA | MANAGED MEDICAID | $1,699.23 | ↓ -69% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,882.93 | ↓ -66% |
| QUALCARE | HMO | $2,255.00 | ↓ -59% |
| CIGNA | HMO | $3,586.00 | ↓ -35% |
| CIGNA | PPO | $4,011.00 | ↓ -28% |
| WELLCARE | MEDICARE ADVANTAGE | $5,555.79 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $5,555.79 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,555.79 | ↑ +0% |
| VACCN | ALL PRODUCTS | $5,555.79 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5,833.58 | ↑ +5% |
| HORIZON | PIP | $5,979.44 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $6,055.81 | ↑ +9% |
| HORIZON | WORKERS COMP | $6,171.40 | ↑ +11% |
| HORIZON | OMNIA | $6,632.49 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $6,666.94 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $6,888.75 | ↑ +24% |
| AETNA | ASA | $7,191.86 | ↑ +29% |
| CIGNA | BH | $7,348.00 | ↑ +32% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,807.25 | ↑ +41% |
| HORIZON | SHP | $7,884.40 | ↑ +42% |
| AMERIHEALTH | LOCAL HMO | $7,976.25 | ↑ +44% |
| HORIZON | INDEMNITY | $8,174.65 | ↑ +47% |
| HORIZON | HMO | $8,180.16 | ↑ +47% |
| OXFORD | ALL PRODUCTS | $8,251.00 | ↑ +49% |
| QUALCARE | PPO | $8,339.98 | ↑ +50% |
| QUALCARE | WORKERS COMP | $8,339.98 | ↑ +50% |
| HORIZON | PPO | $8,396.93 | ↑ +51% |
| AMERIHEALTH | REGIONAL HMO | $9,034.37 | ↑ +63% |
| AETNA | PPO | $9,383.00 | ↑ +69% |
| AETNA | HMO | $9,383.00 | ↑ +69% |
| UNITED HEALTHCARE | HMO | $10,216.00 | ↑ +84% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,984.00 | ↑ +188% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Cystoscopy and treatment at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $5,626.86 | $5,626.86 – $15,984.00 |
| Hackensack University Medical Center | Hackensack | $5,986.78 | $812.33 – $6,286.11 |
| Ocean University Medical Center | Brick | $5,555.79 | $790.56 – $15,984.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $5,631.74 | $446.98 – $5,631.74 |
| Jersey Shore University Medical Center | Neptune City | $5,626.86 | $790.56 – $6,752.23 |
| Palisades Medical Center | North Bergen | $5,986.78 | $812.33 – $15,984.00 |
| Raritan Bay Medical Center | Perth Amboy | $5,631.74 | $812.33 – $15,984.00 |
| Riverview Medical Center | Red Bank | $5,626.86 | $790.56 – $15,984.00 |