Exchange lens prosthesis at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$2,492.56
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.
$6,516.00
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.
$1,172.88 with CLOVER 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $1,172.88 | ↓ -53% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -52% |
| AETNA | MANAGED MEDICAID | $1,205.46 | ↓ -52% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,335.78 | ↓ -46% |
| KARNA | MEDICARE ADVANTAGE | $1,856.27 | ↓ -26% |
| HORIZON | MANAGED MEDICAID | $2,397.00 | ↓ -4% |
| VACCN | ALL PRODUCTS | $2,492.56 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,492.56 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,492.56 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,492.56 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,617.19 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,716.89 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,991.08 | ↑ +20% |
| QUALCARE | HMO | $3,659.00 | ↑ +47% |
| HORIZON | PIP | $4,241.92 | ↑ +70% |
| HORIZON | WORKERS COMP | $4,378.10 | ↑ +76% |
| HORIZON | OMNIA | $4,705.20 | ↑ +89% |
| BERGEN RISK | ALL PRODUCTS | $4,887.00 | ↑ +96% |
| AETNA | ASA | $5,102.03 | ↑ +105% |
| CIGNA | BH | $5,212.80 | ↑ +109% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,538.60 | ↑ +122% |
| HORIZON | SHP | $5,593.33 | ↑ +124% |
| AMERIHEALTH | LOCAL HMO | $5,658.49 | ↑ +127% |
| CIGNA | HMO | $5,681.00 | ↑ +128% |
| HORIZON | INDEMNITY | $5,799.24 | ↑ +133% |
| HORIZON | HMO | $5,803.15 | ↑ +133% |
| QUALCARE | PPO | $5,916.53 | ↑ +137% |
| QUALCARE | WORKERS COMP | $5,916.53 | ↑ +137% |
| HORIZON | PPO | $5,956.93 | ↑ +139% |
| CIGNA | PPO | $6,365.00 | ↑ +155% |
| AMERIHEALTH | REGIONAL HMO | $6,409.14 | ↑ +157% |
| OXFORD | ALL PRODUCTS | $8,251.00 | ↑ +231% |
| AETNA | PPO | $9,383.00 | ↑ +276% |
| AETNA | HMO | $9,383.00 | ↑ +276% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +299% |
| UNITED HEALTHCARE | HMO | $10,216.00 | ↑ +310% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Exchange lens prosthesis at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $2,524.45 | $2,524.45 – $3,029.34 |
| Hackensack University Medical Center | Hackensack | $2,685.92 | $1,929.03 – $2,820.22 |
| Ocean University Medical Center | Brick | $2,492.56 | $1,856.27 – $2,991.08 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,526.64 | $864.00 – $2,526.64 |
| Jersey Shore University Medical Center | Neptune City | $2,524.45 | $1,856.27 – $3,029.34 |
| Palisades Medical Center | North Bergen | $2,685.92 | $1,929.03 – $2,927.66 |
| Raritan Bay Medical Center | Perth Amboy | $2,526.64 | $1,929.03 – $3,031.97 |
| Riverview Medical Center | Red Bank | $2,524.45 | $1,856.27 – $3,029.34 |