Electrode stimulation brain at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$1,111.89
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.
$1,469.00
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.
$264.42 with CLOVER vs $1,444.91 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $264.42 | ↓ -76% |
| AETNA | MANAGED MEDICAID | $271.77 | ↓ -76% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $301.15 | ↓ -73% |
| KARNA | MEDICARE ADVANTAGE | $554.27 | ↓ -50% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $865.24 | ↓ -22% |
| HORIZON | MANAGED MEDICAID | $931.05 | ↓ -16% |
| HORIZON | PIP | $956.32 | ↓ -14% |
| HORIZON | WORKERS COMP | $987.02 | ↓ -11% |
| OXFORD | ALL PRODUCTS | $1,044.31 | ↓ -6% |
| HORIZON | OMNIA | $1,060.76 | ↓ -5% |
| BERGEN RISK | ALL PRODUCTS | $1,101.75 | ↓ -1% |
| WELLCARE | MEDICARE ADVANTAGE | $1,111.89 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,111.89 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,111.89 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,111.89 | ↑ +0% |
| UNITED HEALTHCARE | HMO | $1,141.12 | ↑ +3% |
| AETNA | ASA | $1,150.23 | ↑ +3% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,167.48 | ↑ +5% |
| CIGNA | BH | $1,175.20 | ↑ +6% |
| AETNA | MEDICARE ADVANTAGE | $1,211.95 | ↑ +9% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,248.65 | ↑ +12% |
| HORIZON | SHP | $1,260.99 | ↑ +13% |
| AMERIHEALTH | LOCAL HMO | $1,275.68 | ↑ +15% |
| HORIZON | INDEMNITY | $1,307.41 | ↑ +18% |
| HORIZON | HMO | $1,308.29 | ↑ +18% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,322.10 | ↑ +19% |
| AETNA | PPO | $1,322.39 | ↑ +19% |
| AETNA | HMO | $1,322.39 | ↑ +19% |
| QUALCARE | WORKERS COMP | $1,333.85 | ↑ +20% |
| QUALCARE | HMO | $1,333.85 | ↑ +20% |
| QUALCARE | PPO | $1,333.85 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $1,334.26 | ↑ +20% |
| HORIZON | PPO | $1,342.96 | ↑ +21% |
| CIGNA | HMO | $1,404.80 | ↑ +26% |
| CIGNA | PPO | $1,404.80 | ↑ +26% |
| AMERIHEALTH | REGIONAL HMO | $1,444.91 | ↑ +30% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Electrode stimulation brain at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $1,126.11 | $1,126.11 – $1,351.33 |
| Hackensack University Medical Center | Hackensack | $1,198.14 | $579.39 – $4,782.00 |
| Ocean University Medical Center | Brick | $1,111.89 | $104.00 – $1,334.26 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $1,127.09 | $104.00 – $7,013.00 |
| Jersey Shore University Medical Center | Neptune City | $1,126.11 | $554.27 – $1,351.33 |
| Palisades Medical Center | North Bergen | $1,198.14 | $252.67 – $1,998.00 |
| Raritan Bay Medical Center | Perth Amboy | $1,127.09 | $320.65 – $1,352.50 |
| Riverview Medical Center | Red Bank | $1,126.11 | $554.27 – $1,351.33 |