Endoscopy of ureter at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$3,769.31
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.
$6,813.00
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.
$658.57 with KARNA vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 | $658.57 | ↓ -83% |
| HORIZON | MANAGED MEDICAID | $903.00 | ↓ -76% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -68% |
| CLOVER | MEDICARE ADVANTAGE | $1,226.34 | ↓ -67% |
| AETNA | MANAGED MEDICAID | $1,260.41 | ↓ -67% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,396.67 | ↓ -63% |
| QUALCARE | HMO | $1,525.00 | ↓ -60% |
| CIGNA | HMO | $2,249.00 | ↓ -40% |
| CIGNA | PPO | $2,518.00 | ↓ -33% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,769.31 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,769.31 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,769.31 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,769.31 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,957.78 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4,108.55 | ↑ +9% |
| HORIZON | PIP | $4,435.26 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $4,523.17 | ↑ +20% |
| HORIZON | WORKERS COMP | $4,577.65 | ↑ +21% |
| HORIZON | OMNIA | $4,919.67 | ↑ +31% |
| BERGEN RISK | ALL PRODUCTS | $5,109.75 | ↑ +36% |
| AETNA | ASA | $5,334.58 | ↑ +42% |
| CIGNA | BH | $5,450.40 | ↑ +45% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,791.05 | ↑ +54% |
| HORIZON | SHP | $5,848.28 | ↑ +55% |
| AMERIHEALTH | LOCAL HMO | $5,916.41 | ↑ +57% |
| HORIZON | INDEMNITY | $6,063.57 | ↑ +61% |
| HORIZON | HMO | $6,067.66 | ↑ +61% |
| QUALCARE | PPO | $6,186.20 | ↑ +64% |
| QUALCARE | WORKERS COMP | $6,186.20 | ↑ +64% |
| OXFORD | ALL PRODUCTS | $6,189.00 | ↑ +64% |
| HORIZON | PPO | $6,228.44 | ↑ +65% |
| AMERIHEALTH | REGIONAL HMO | $6,701.27 | ↑ +78% |
| UNITED HEALTHCARE | HMO | $7,601.00 | ↑ +102% |
| AETNA | HMO | $9,383.00 | ↑ +149% |
| AETNA | PPO | $9,383.00 | ↑ +149% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +164% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Endoscopy of ureter at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,817.53 | $3,817.53 – $4,581.03 |
| Hackensack University Medical Center | Hackensack | $4,061.71 | $676.85 – $4,264.80 |
| Ocean University Medical Center | Brick | $3,769.31 | $658.57 – $4,523.17 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,820.84 | $145.20 – $3,820.84 |
| Jersey Shore University Medical Center | Neptune City | $3,817.53 | $658.57 – $4,581.03 |
| Palisades Medical Center | North Bergen | $4,061.71 | $676.85 – $4,427.27 |
| Raritan Bay Medical Center | Perth Amboy | $3,820.84 | $676.85 – $4,585.01 |
| Riverview Medical Center | Red Bank | $3,817.53 | $658.57 – $4,581.03 |