Embo or occlude vascular venous s&i at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$12,393.88
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.
$19,724.00
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.
$847.28 with KARNA vs $27,214.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $847.28 | ↓ -93% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↓ -86% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -81% |
| CLOVER | MEDICARE ADVANTAGE | $3,550.32 | ↓ -71% |
| AETNA | MANAGED MEDICAID | $3,648.94 | ↓ -71% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $4,043.42 | ↓ -67% |
| HORIZON | OMNIA | $7,049.00 | ↓ -43% |
| HORIZON | SHP | $7,963.00 | ↓ -36% |
| HORIZON | INDEMNITY | $8,703.00 | ↓ -30% |
| HORIZON | HMO | $8,706.00 | ↓ -30% |
| HORIZON | PPO | $8,936.00 | ↓ -28% |
| AETNA | HMO | $9,383.00 | ↓ -24% |
| AETNA | PPO | $9,383.00 | ↓ -24% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↓ -20% |
| QUALCARE | PPO | $10,197.00 | ↓ -18% |
| QUALCARE | WORKERS COMP | $10,197.00 | ↓ -18% |
| WELLCARE | MANAGED MEDICAID | $12,393.88 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $12,393.88 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $12,393.88 | ↑ +0% |
| VACCN | ALL PRODUCTS | $12,393.88 | ↑ +0% |
| HORIZON | PIP | $12,840.32 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $13,013.58 | ↑ +5% |
| HORIZON | WORKERS COMP | $13,252.56 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $13,509.33 | ↑ +9% |
| AMERIHEALTH | LOCAL HMO | $13,972.00 | ↑ +13% |
| BERGEN RISK | ALL PRODUCTS | $14,793.00 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $14,872.66 | ↑ +20% |
| AETNA | ASA | $15,443.89 | ↑ +25% |
| CIGNA | BH | $15,779.20 | ↑ +27% |
| AMERIHEALTH | REGIONAL HMO | $15,795.00 | ↑ +27% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $16,765.40 | ↑ +35% |
| CIGNA | PPO | $17,729.90 | ↑ +43% |
| CIGNA | HMO | $17,729.90 | ↑ +43% |
| QUALCARE | HMO | $17,909.39 | ↑ +45% |
| OXFORD | ALL PRODUCTS | $21,659.00 | ↑ +75% |
| UNITED HEALTHCARE | HMO | $27,214.00 | ↑ +120% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Embo or occlude vascular venous s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $12,552.42 | $12,552.42 – $15,062.91 |
| Hackensack University Medical Center | Hackensack | $13,355.34 | $866.79 – $14,023.10 |
| Ocean University Medical Center | Brick | $12,393.88 | $847.28 – $14,872.66 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $12,563.31 | $389.58 – $12,563.31 |
| Jersey Shore University Medical Center | Neptune City | $12,552.42 | $847.28 – $15,062.91 |
| Palisades Medical Center | North Bergen | $13,355.34 | $866.79 – $14,557.32 |
| Raritan Bay Medical Center | Perth Amboy | $12,563.31 | $866.79 – $15,075.97 |
| Riverview Medical Center | Red Bank | $12,552.42 | $847.28 – $15,062.91 |