Explr/decompress eye socket at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$4,121.25
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.
?
What you pay up front if you don't use insurance.
$9,123.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,189.00 with UNITED HEALTHCARE vs $14,007.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -71% |
| CLOVER | MEDICARE ADVANTAGE | $1,642.14 | ↓ -60% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↓ -59% |
| AETNA | MANAGED MEDICAID | $1,687.76 | ↓ -59% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,870.22 | ↓ -55% |
| AETNA | MEDICARE ADVANTAGE | $1,906.71 | ↓ -54% |
| KARNA | MEDICARE ADVANTAGE | $3,009.17 | ↓ -27% |
| QUALCARE | HMO | $3,659.00 | ↓ -11% |
| WELLCARE | MEDICARE ADVANTAGE | $4,121.25 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4,121.25 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4,121.25 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,121.25 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,327.31 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $4,945.50 | ↑ +20% |
| HORIZON | PIP | $5,939.07 | ↑ +44% |
| HORIZON | WORKERS COMP | $6,129.74 | ↑ +49% |
| HORIZON | OMNIA | $6,587.72 | ↑ +60% |
| BERGEN RISK | ALL PRODUCTS | $6,842.25 | ↑ +66% |
| AETNA | ASA | $7,143.31 | ↑ +73% |
| CIGNA | BH | $7,298.40 | ↑ +77% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,754.55 | ↑ +88% |
| HORIZON | SHP | $7,831.18 | ↑ +90% |
| AMERIHEALTH | LOCAL HMO | $7,922.41 | ↑ +92% |
| HORIZON | INDEMNITY | $8,119.47 | ↑ +97% |
| HORIZON | HMO | $8,124.94 | ↑ +97% |
| CIGNA | HMO | $8,200.66 | ↑ +99% |
| CIGNA | PPO | $8,200.66 | ↑ +99% |
| QUALCARE | PPO | $8,283.68 | ↑ +101% |
| QUALCARE | WORKERS COMP | $8,283.68 | ↑ +101% |
| HORIZON | PPO | $8,340.25 | ↑ +102% |
| AMERIHEALTH | REGIONAL HMO | $8,973.38 | ↑ +118% |
| AETNA | PPO | $9,383.00 | ↑ +128% |
| AETNA | HMO | $9,383.00 | ↑ +128% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +141% |
| OXFORD | ALL PRODUCTS | $11,243.00 | ↑ +173% |
| UNITED HEALTHCARE | HMO | $14,007.00 | ↑ +240% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Explr/decompress eye socket at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $4,173.97 | $4,173.97 – $5,008.76 |
| Hackensack University Medical Center | Hackensack | $4,440.96 | $3,131.08 – $4,663.00 |
| Ocean University Medical Center | Brick | $4,121.25 | $3,009.17 – $6,158.81 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $4,177.59 | $816.00 – $6,158.81 |
| Jersey Shore University Medical Center | Neptune City | $4,173.97 | $3,009.17 – $5,008.76 |
| Palisades Medical Center | North Bergen | $4,440.96 | $803.76 – $4,840.64 |
| Raritan Bay Medical Center | Perth Amboy | $4,177.59 | $1,020.00 – $5,013.11 |
| Riverview Medical Center | Red Bank | $4,173.97 | $3,009.17 – $5,008.76 |