Fusion of knuckle joint at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$3,545.97
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.
$6,161.00
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.
$903.00 with HORIZON vs $14,007.00 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $903.00 | ↓ -75% |
| CLOVER | MEDICARE ADVANTAGE | $1,108.98 | ↓ -69% |
| AETNA | MANAGED MEDICAID | $1,139.79 | ↓ -68% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -66% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,263.01 | ↓ -64% |
| QUALCARE | HMO | $1,525.00 | ↓ -57% |
| KARNA | MEDICARE ADVANTAGE | $1,578.95 | ↓ -55% |
| CIGNA | HMO | $2,249.00 | ↓ -37% |
| CIGNA | PPO | $2,518.00 | ↓ -29% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,545.97 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,545.97 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,545.97 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,545.97 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,723.27 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,865.11 | ↑ +9% |
| HORIZON | PIP | $4,010.81 | ↑ +13% |
| HORIZON | WORKERS COMP | $4,139.58 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $4,255.16 | ↑ +20% |
| HORIZON | OMNIA | $4,448.86 | ↑ +25% |
| BERGEN RISK | ALL PRODUCTS | $4,620.75 | ↑ +30% |
| AETNA | ASA | $4,824.06 | ↑ +36% |
| CIGNA | BH | $4,928.80 | ↑ +39% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,236.85 | ↑ +48% |
| HORIZON | SHP | $5,288.60 | ↑ +49% |
| AMERIHEALTH | LOCAL HMO | $5,350.21 | ↑ +51% |
| HORIZON | INDEMNITY | $5,483.29 | ↑ +55% |
| HORIZON | HMO | $5,486.99 | ↑ +55% |
| QUALCARE | PPO | $5,594.19 | ↑ +58% |
| QUALCARE | WORKERS COMP | $5,594.19 | ↑ +58% |
| HORIZON | PPO | $5,632.39 | ↑ +59% |
| AMERIHEALTH | REGIONAL HMO | $6,059.96 | ↑ +71% |
| AETNA | HMO | $9,383.00 | ↑ +165% |
| AETNA | PPO | $9,383.00 | ↑ +165% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +180% |
| OXFORD | ALL PRODUCTS | $11,243.00 | ↑ +217% |
| UNITED HEALTHCARE | HMO | $14,007.00 | ↑ +295% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Fusion of knuckle joint at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,591.33 | $3,591.33 – $4,309.59 |
| Hackensack University Medical Center | Hackensack | $3,821.05 | $1,645.17 – $4,012.10 |
| Ocean University Medical Center | Brick | $3,545.97 | $1,578.95 – $4,255.16 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,594.44 | $528.00 – $3,594.44 |
| Jersey Shore University Medical Center | Neptune City | $3,591.33 | $1,578.95 – $4,309.59 |
| Palisades Medical Center | North Bergen | $3,821.05 | $1,645.17 – $4,164.94 |
| Raritan Bay Medical Center | Perth Amboy | $3,594.44 | $1,645.17 – $4,313.33 |
| Riverview Medical Center | Red Bank | $3,591.33 | $1,578.95 – $4,309.59 |