Cytopathology fna adequacy evaluation first episode each site interp/rpt at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$58.39
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.
$422.00
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.
$58.39 with WELLCARE vs $415.08 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 |
|---|---|---|---|
| WELLCARE | MANAGED MEDICAID | $58.39 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $58.39 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $58.39 | ↑ +0% |
| VACCN | ALL PRODUCTS | $58.39 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $61.31 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $63.65 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $70.07 | ↑ +20% |
| AETNA | MANAGED MEDICAID | $78.07 | ↑ +34% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $86.51 | ↑ +48% |
| UNITED HEALTHCARE | HMO | $102.13 | ↑ +75% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $112.55 | ↑ +93% |
| OXFORD | ALL PRODUCTS | $228.30 | ↑ +291% |
| HORIZON | PIP | $274.72 | ↑ +370% |
| HORIZON | WORKERS COMP | $283.54 | ↑ +386% |
| HORIZON | OMNIA | $304.73 | ↑ +422% |
| KARNA | MEDICARE ADVANTAGE | $306.24 | ↑ +424% |
| BERGEN RISK | ALL PRODUCTS | $316.50 | ↑ +442% |
| AETNA | ASA | $330.43 | ↑ +466% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $337.60 | ↑ +478% |
| CIGNA | BH | $337.60 | ↑ +478% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $358.70 | ↑ +514% |
| AETNA | HMO | $359.54 | ↑ +516% |
| AETNA | PPO | $359.54 | ↑ +516% |
| HORIZON | SHP | $362.24 | ↑ +520% |
| AMERIHEALTH | LOCAL HMO | $366.46 | ↑ +528% |
| HORIZON | INDEMNITY | $375.58 | ↑ +543% |
| HORIZON | HMO | $375.83 | ↑ +544% |
| QUALCARE | PPO | $383.18 | ↑ +556% |
| QUALCARE | HMO | $383.18 | ↑ +556% |
| QUALCARE | WORKERS COMP | $383.18 | ↑ +556% |
| HORIZON | PPO | $385.79 | ↑ +561% |
| CIGNA | HMO | $403.56 | ↑ +591% |
| CIGNA | PPO | $403.56 | ↑ +591% |
| AMERIHEALTH | REGIONAL HMO | $415.08 | ↑ +611% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
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Cytopathology fna adequacy evaluation first episode each site interp/rpt at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $59.14 | $59.14 – $102.13 |
| Hackensack University Medical Center | Hackensack | $62.92 | $37.17 – $321.10 |
| Ocean University Medical Center | Brick | $58.39 | $27.50 – $306.24 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $59.19 | $27.50 – $321.10 |
| Jersey Shore University Medical Center | Neptune City | $59.14 | $59.14 – $306.24 |
| Palisades Medical Center | North Bergen | $62.92 | $41.00 – $321.10 |
| Raritan Bay Medical Center | Perth Amboy | $59.19 | $59.19 – $321.10 |
| Riverview Medical Center | Red Bank | $59.14 | $28.75 – $306.24 |