Follow-up surgery of eye at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$2,549.65
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.
$3,678.00
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.
$662.04 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 | $662.04 | ↓ -74% |
| AETNA | MANAGED MEDICAID | $680.43 | ↓ -73% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $753.99 | ↓ -70% |
| KARNA | MEDICARE ADVANTAGE | $1,149.66 | ↓ -55% |
| HORIZON | MANAGED MEDICAID | $1,188.00 | ↓ -53% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -53% |
| QUALCARE | HMO | $2,255.00 | ↓ -12% |
| HORIZON | PIP | $2,394.38 | ↓ -6% |
| HORIZON | WORKERS COMP | $2,471.25 | ↓ -3% |
| WELLCARE | MEDICARE ADVANTAGE | $2,549.65 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,549.65 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,549.65 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,549.65 | ↑ +0% |
| HORIZON | OMNIA | $2,655.88 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,677.13 | ↑ +5% |
| BERGEN RISK | ALL PRODUCTS | $2,758.50 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $2,779.11 | ↑ +9% |
| AETNA | ASA | $2,879.87 | ↑ +13% |
| CIGNA | BH | $2,942.40 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $3,059.57 | ↑ +20% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,126.30 | ↑ +23% |
| CIGNA | HMO | $3,133.00 | ↑ +23% |
| HORIZON | SHP | $3,157.20 | ↑ +24% |
| AMERIHEALTH | LOCAL HMO | $3,193.98 | ↑ +25% |
| HORIZON | INDEMNITY | $3,273.42 | ↑ +28% |
| HORIZON | HMO | $3,275.63 | ↑ +28% |
| QUALCARE | PPO | $3,339.62 | ↑ +31% |
| QUALCARE | WORKERS COMP | $3,339.62 | ↑ +31% |
| HORIZON | PPO | $3,362.43 | ↑ +32% |
| CIGNA | PPO | $3,508.00 | ↑ +38% |
| AMERIHEALTH | REGIONAL HMO | $3,617.68 | ↑ +42% |
| OXFORD | ALL PRODUCTS | $8,251.00 | ↑ +224% |
| AETNA | HMO | $9,383.00 | ↑ +268% |
| AETNA | PPO | $9,383.00 | ↑ +268% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +290% |
| UNITED HEALTHCARE | HMO | $10,216.00 | ↑ +301% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Follow-up surgery of eye at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $2,582.26 | $2,582.26 – $3,098.71 |
| Hackensack University Medical Center | Hackensack | $2,747.43 | $1,196.23 – $2,884.81 |
| Ocean University Medical Center | Brick | $2,549.65 | $1,149.66 – $3,059.57 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $2,584.50 | $338.80 – $2,584.50 |
| Jersey Shore University Medical Center | Neptune City | $2,582.26 | $1,149.66 – $3,098.71 |
| Palisades Medical Center | North Bergen | $2,747.43 | $1,196.23 – $2,994.70 |
| Raritan Bay Medical Center | Perth Amboy | $2,584.50 | $1,196.23 – $3,101.40 |
| Riverview Medical Center | Red Bank | $2,582.26 | $1,149.66 – $3,098.71 |