Endo cholangiopancreatograph at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$4,157.89
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.
$8,250.00
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.
$720.19 with KARNA vs $10,216.00 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 | $720.19 | ↓ -83% |
| HORIZON | MANAGED MEDICAID | $1,188.00 | ↓ -71% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -71% |
| CLOVER | MEDICARE ADVANTAGE | $1,485.00 | ↓ -64% |
| AETNA | MANAGED MEDICAID | $1,526.25 | ↓ -63% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,691.25 | ↓ -59% |
| QUALCARE | HMO | $1,982.00 | ↓ -52% |
| CIGNA | HMO | $3,133.00 | ↓ -25% |
| CIGNA | PPO | $3,508.00 | ↓ -16% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,157.89 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $4,157.89 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4,157.89 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4,157.89 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,365.79 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4,532.11 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4,989.47 | ↑ +20% |
| HORIZON | PIP | $5,370.75 | ↑ +29% |
| HORIZON | WORKERS COMP | $5,543.18 | ↑ +33% |
| HORIZON | OMNIA | $5,957.33 | ↑ +43% |
| BERGEN RISK | ALL PRODUCTS | $6,187.50 | ↑ +49% |
| AETNA | ASA | $6,459.75 | ↑ +55% |
| CIGNA | BH | $6,600.00 | ↑ +59% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,012.50 | ↑ +69% |
| HORIZON | SHP | $7,081.80 | ↑ +70% |
| AMERIHEALTH | LOCAL HMO | $7,164.30 | ↑ +72% |
| HORIZON | INDEMNITY | $7,342.50 | ↑ +77% |
| HORIZON | HMO | $7,347.45 | ↑ +77% |
| QUALCARE | PPO | $7,491.00 | ↑ +80% |
| QUALCARE | WORKERS COMP | $7,491.00 | ↑ +80% |
| HORIZON | PPO | $7,542.15 | ↑ +81% |
| AMERIHEALTH | REGIONAL HMO | $8,114.70 | ↑ +95% |
| OXFORD | ALL PRODUCTS | $8,251.00 | ↑ +98% |
| AETNA | HMO | $9,383.00 | ↑ +126% |
| AETNA | PPO | $9,383.00 | ↑ +126% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +139% |
| UNITED HEALTHCARE | HMO | $10,216.00 | ↑ +146% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Endo cholangiopancreatograph at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $4,211.08 | $4,211.08 – $5,053.30 |
| Hackensack University Medical Center | Hackensack | $4,480.44 | $741.39 – $4,704.46 |
| Ocean University Medical Center | Brick | $4,157.89 | $720.19 – $4,989.47 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $4,214.73 | $436.00 – $4,214.73 |
| Jersey Shore University Medical Center | Neptune City | $4,211.08 | $720.19 – $5,053.30 |
| Palisades Medical Center | North Bergen | $4,480.44 | $429.46 – $4,883.68 |
| Raritan Bay Medical Center | Perth Amboy | $4,214.73 | $741.39 – $5,057.68 |
| Riverview Medical Center | Red Bank | $4,211.08 | $720.19 – $5,053.30 |