Exam of vagina w/scope 57420 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$332.44
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.
$952.00
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.
$171.36 with CLOVER 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $171.36 | ↓ -48% |
| AETNA | MANAGED MEDICAID | $176.12 | ↓ -47% |
| KARNA | MEDICARE ADVANTAGE | $184.62 | ↓ -44% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $195.16 | ↓ -41% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $332.44 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $332.44 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $332.44 | ↑ +0% |
| VACCN | ALL PRODUCTS | $332.44 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $349.07 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $362.36 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $398.93 | ↑ +20% |
| HORIZON | PIP | $619.75 | ↑ +86% |
| HORIZON | WORKERS COMP | $639.65 | ↑ +92% |
| HORIZON | OMNIA | $687.44 | ↑ +107% |
| BERGEN RISK | ALL PRODUCTS | $714.00 | ↑ +115% |
| AETNA | ASA | $745.42 | ↑ +124% |
| CIGNA | BH | $761.60 | ↑ +129% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $809.20 | ↑ +143% |
| HORIZON | SHP | $817.20 | ↑ +146% |
| AMERIHEALTH | LOCAL HMO | $826.72 | ↑ +149% |
| HORIZON | INDEMNITY | $847.28 | ↑ +155% |
| HORIZON | HMO | $847.85 | ↑ +155% |
| QUALCARE | WORKERS COMP | $864.42 | ↑ +160% |
| QUALCARE | PPO | $864.42 | ↑ +160% |
| HORIZON | PPO | $870.32 | ↑ +162% |
| AMERIHEALTH | REGIONAL HMO | $936.39 | ↑ +182% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +258% |
| QUALCARE | HMO | $1,525.00 | ↑ +359% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↑ +405% |
| CIGNA | HMO | $2,249.00 | ↑ +577% |
| CIGNA | PPO | $2,518.00 | ↑ +657% |
| OXFORD | ALL PRODUCTS | $2,837.00 | ↑ +753% |
| UNITED HEALTHCARE | HMO | $3,352.00 | ↑ +908% |
| AETNA | PPO | $9,383.00 | ↑ +2722% |
| AETNA | HMO | $9,383.00 | ↑ +2722% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +2888% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Exam of vagina w/scope 57420 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $336.70 | $336.70 – $404.03 |
| Hackensack University Medical Center | Hackensack | $358.23 | $189.80 – $376.14 |
| Ocean University Medical Center | Brick | $332.44 | $184.62 – $398.93 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $336.99 | $142.00 – $336.99 |
| Jersey Shore University Medical Center | Neptune City | $336.70 | $184.62 – $404.03 |
| Palisades Medical Center | North Bergen | $358.23 | $189.80 – $390.47 |
| Raritan Bay Medical Center | Perth Amboy | $336.99 | $189.80 – $404.39 |
| Riverview Medical Center | Red Bank | $336.70 | $184.62 – $404.03 |