Ghs eyelid foreign body-embedded - bil at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$326.69
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.
$882.00
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.
$158.76 with CLOVER vs $8,077.00 with HORIZON — 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 | $158.76 | ↓ -51% |
| AETNA | MANAGED MEDICAID | $163.17 | ↓ -50% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $180.81 | ↓ -45% |
| KARNA | MEDICARE ADVANTAGE | $244.41 | ↓ -25% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $326.69 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $326.69 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $326.69 | ↑ +0% |
| VACCN | ALL PRODUCTS | $326.69 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $343.03 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $356.10 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $392.03 | ↑ +20% |
| HORIZON | PIP | $574.18 | ↑ +76% |
| HORIZON | WORKERS COMP | $592.62 | ↑ +81% |
| OXFORD | ALL PRODUCTS | $627.01 | ↑ +92% |
| UNITED HEALTHCARE | HMO | $685.14 | ↑ +110% |
| AETNA | ASA | $690.61 | ↑ +111% |
| CIGNA | BH | $705.60 | ↑ +116% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $749.70 | ↑ +129% |
| QUALCARE | WORKERS COMP | $800.86 | ↑ +145% |
| QUALCARE | PPO | $800.86 | ↑ +145% |
| QUALCARE | HMO | $800.86 | ↑ +145% |
| HORIZON | SHP | $7,264.00 | ↑ +2124% |
| HORIZON | INDEMNITY | $7,867.00 | ↑ +2308% |
| HORIZON | HMO | $7,869.00 | ↑ +2309% |
| HORIZON | PPO | $8,077.00 | ↑ +2372% |
| AETNA | HMO | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | OMNIA | not published by hospital | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | not published by hospital | — |
| BERGEN RISK | ALL PRODUCTS | not published by hospital | — |
| AMERIHEALTH | REGIONAL HMO | not published by hospital | — |
| AMERIHEALTH | LOCAL HMO | not published by hospital | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| AETNA | PPO | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Ghs eyelid foreign body-embedded - bil at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $330.87 | $330.87 – $397.05 |
| Hackensack University Medical Center | Hackensack | $352.04 | $254.84 – $369.64 |
| Ocean University Medical Center | Brick | $326.69 | $244.41 – $392.03 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $331.16 | $66.00 – $331.16 |
| Jersey Shore University Medical Center | Neptune City | $330.87 | $244.41 – $397.05 |
| Palisades Medical Center | North Bergen | $352.04 | $254.84 – $383.72 |
| Raritan Bay Medical Center | Perth Amboy | $331.16 | $82.50 – $795.00 |
| Riverview Medical Center | Red Bank | $330.87 | $244.41 – $397.05 |