Cystoscopy prostatic imp 1-3 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.
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What you pay up front if you don't use insurance.
$11,468.00
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.
$1,189.00 with UNITED HEALTHCARE vs $11,279.92 with AMERIHEALTH — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -79% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↓ -70% |
| CLOVER | MEDICARE ADVANTAGE | $2,064.24 | ↓ -63% |
| AETNA | MANAGED MEDICAID | $2,121.58 | ↓ -62% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,350.94 | ↓ -58% |
| VACCN | ALL PRODUCTS | $5,555.79 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $5,555.79 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,555.79 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $5,555.79 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5,833.58 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $6,055.81 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $6,666.94 | ↑ +20% |
| HORIZON | OMNIA | $7,049.00 | ↑ +27% |
| HORIZON | PIP | $7,465.67 | ↑ +34% |
| HORIZON | WORKERS COMP | $7,705.35 | ↑ +39% |
| HORIZON | SHP | $7,963.00 | ↑ +43% |
| OXFORD | ALL PRODUCTS | $8,251.00 | ↑ +49% |
| BERGEN RISK | ALL PRODUCTS | $8,601.00 | ↑ +55% |
| HORIZON | INDEMNITY | $8,703.00 | ↑ +57% |
| HORIZON | HMO | $8,706.00 | ↑ +57% |
| HORIZON | PPO | $8,936.00 | ↑ +61% |
| AETNA | ASA | $8,979.44 | ↑ +62% |
| CIGNA | BH | $9,174.40 | ↑ +65% |
| AETNA | HMO | $9,383.00 | ↑ +69% |
| AETNA | PPO | $9,383.00 | ↑ +69% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $9,747.80 | ↑ +75% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +79% |
| AMERIHEALTH | LOCAL HMO | $9,958.81 | ↑ +79% |
| QUALCARE | PPO | $10,197.00 | ↑ +84% |
| QUALCARE | WORKERS COMP | $10,197.00 | ↑ +84% |
| UNITED HEALTHCARE | HMO | $10,216.00 | ↑ +84% |
| CIGNA | HMO | $10,308.59 | ↑ +86% |
| CIGNA | PPO | $10,308.59 | ↑ +86% |
| QUALCARE | HMO | $10,412.94 | ↑ +87% |
| AMERIHEALTH | REGIONAL HMO | $11,279.92 | ↑ +103% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Cystoscopy prostatic imp 1-3 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $5,631.74 | $5,083.62 – $5,631.74 |
| Jersey Shore University Medical Center | Neptune City | $5,626.86 | $5,626.86 – $6,752.23 |
| Palisades Medical Center | North Bergen | $5,986.78 | $5,986.78 – $6,525.59 |
| Raritan Bay Medical Center | Perth Amboy | $5,631.74 | $5,631.74 – $6,758.08 |
| Riverview Medical Center | Red Bank | $5,626.86 | $5,626.86 – $6,752.23 |