Foreskn manip w/lss preputial ads+stretching 54450 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$265.80
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.
$706.00
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.
$115.57 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $115.57 | ↓ -57% |
| CLOVER | MEDICARE ADVANTAGE | $127.08 | ↓ -52% |
| AETNA | MANAGED MEDICAID | $130.61 | ↓ -51% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $144.73 | ↓ -46% |
| WELLCARE | MANAGED MEDICAID | $265.80 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $265.80 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $265.80 | ↑ +0% |
| VACCN | ALL PRODUCTS | $265.80 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $279.09 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $289.72 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $318.96 | ↑ +20% |
| HORIZON | PIP | $459.61 | ↑ +73% |
| HORIZON | WORKERS COMP | $474.36 | ↑ +78% |
| HORIZON | OMNIA | $509.80 | ↑ +92% |
| BERGEN RISK | ALL PRODUCTS | $529.50 | ↑ +99% |
| AETNA | ASA | $552.80 | ↑ +108% |
| CIGNA | BH | $564.80 | ↑ +112% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $600.10 | ↑ +126% |
| HORIZON | SHP | $606.03 | ↑ +128% |
| AMERIHEALTH | LOCAL HMO | $613.09 | ↑ +131% |
| HORIZON | INDEMNITY | $628.34 | ↑ +136% |
| HORIZON | HMO | $628.76 | ↑ +137% |
| QUALCARE | PPO | $641.05 | ↑ +141% |
| QUALCARE | WORKERS COMP | $641.05 | ↑ +141% |
| HORIZON | PPO | $645.43 | ↑ +143% |
| AMERIHEALTH | REGIONAL HMO | $694.42 | ↑ +161% |
| HORIZON | MANAGED MEDICAID | $903.00 | ↑ +240% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +347% |
| QUALCARE | HMO | $1,525.00 | ↑ +474% |
| CIGNA | HMO | $2,249.00 | ↑ +746% |
| CIGNA | PPO | $2,518.00 | ↑ +847% |
| OXFORD | ALL PRODUCTS | $2,837.00 | ↑ +967% |
| UNITED HEALTHCARE | HMO | $3,352.00 | ↑ +1161% |
| AETNA | PPO | $9,383.00 | ↑ +3430% |
| AETNA | HMO | $9,383.00 | ↑ +3430% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +3637% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
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Foreskn manip w/lss preputial ads+stretching 54450 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $269.20 | $269.20 – $323.04 |
| Hackensack University Medical Center | Hackensack | $286.42 | $118.65 – $300.74 |
| Ocean University Medical Center | Brick | $265.80 | $115.57 – $318.96 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $269.43 | $70.00 – $269.43 |
| Jersey Shore University Medical Center | Neptune City | $269.20 | $115.57 – $323.04 |
| Palisades Medical Center | North Bergen | $286.42 | $118.65 – $312.20 |
| Raritan Bay Medical Center | Perth Amboy | $269.43 | $118.65 – $323.32 |
| Riverview Medical Center | Red Bank | $269.20 | $115.57 – $323.04 |