Extraction of lens at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$4,396.50
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.
$8,669.00
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.
$1,189.00 with UNITED HEALTHCARE 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -73% |
| CLOVER | MEDICARE ADVANTAGE | $1,560.42 | ↓ -65% |
| AETNA | MANAGED MEDICAID | $1,603.77 | ↓ -64% |
| KARNA | MEDICARE ADVANTAGE | $1,764.19 | ↓ -60% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,777.15 | ↓ -60% |
| HORIZON | MANAGED MEDICAID | $1,915.00 | ↓ -56% |
| QUALCARE | HMO | $3,112.00 | ↓ -29% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,396.50 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $4,396.50 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4,396.50 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4,396.50 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,616.33 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4,792.19 | ↑ +9% |
| CIGNA | HMO | $5,022.00 | ↑ +14% |
| UNITED HEALTHCARE | DSNP | $5,275.80 | ↑ +20% |
| CIGNA | PPO | $5,631.00 | ↑ +28% |
| HORIZON | PIP | $5,643.52 | ↑ +28% |
| HORIZON | WORKERS COMP | $5,824.70 | ↑ +32% |
| HORIZON | OMNIA | $6,259.88 | ↑ +42% |
| BERGEN RISK | ALL PRODUCTS | $6,501.75 | ↑ +48% |
| AETNA | ASA | $6,787.83 | ↑ +54% |
| CIGNA | BH | $6,935.20 | ↑ +58% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,368.65 | ↑ +68% |
| HORIZON | SHP | $7,441.47 | ↑ +69% |
| AMERIHEALTH | LOCAL HMO | $7,528.16 | ↑ +71% |
| HORIZON | INDEMNITY | $7,715.41 | ↑ +75% |
| HORIZON | HMO | $7,720.61 | ↑ +76% |
| QUALCARE | PPO | $7,871.45 | ↑ +79% |
| QUALCARE | WORKERS COMP | $7,871.45 | ↑ +79% |
| HORIZON | PPO | $7,925.20 | ↑ +80% |
| OXFORD | ALL PRODUCTS | $8,251.00 | ↑ +88% |
| AMERIHEALTH | REGIONAL HMO | $8,526.83 | ↑ +94% |
| AETNA | HMO | $9,383.00 | ↑ +113% |
| AETNA | PPO | $9,383.00 | ↑ +113% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +126% |
| UNITED HEALTHCARE | HMO | $10,216.00 | ↑ +132% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Extraction of lens at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $4,452.74 | $4,452.74 – $5,343.29 |
| Hackensack University Medical Center | Hackensack | $4,737.56 | $1,833.41 – $4,974.44 |
| Ocean University Medical Center | Brick | $4,396.50 | $1,764.19 – $5,275.80 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $4,456.60 | $786.00 – $4,456.60 |
| Jersey Shore University Medical Center | Neptune City | $4,452.74 | $1,764.19 – $5,343.29 |
| Palisades Medical Center | North Bergen | $4,737.56 | $1,833.41 – $5,163.94 |
| Raritan Bay Medical Center | Perth Amboy | $4,456.60 | $1,833.41 – $5,347.93 |
| Riverview Medical Center | Red Bank | $4,452.74 | $1,764.19 – $5,343.29 |