Ghs layered repair 12.6 - 20.0 cm -12055 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$436.64
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.
$1,650.00
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.
$297.00 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 | $297.00 | ↓ -32% |
| AETNA | MANAGED MEDICAID | $305.25 | ↓ -30% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $338.25 | ↓ -23% |
| VACCN | ALL PRODUCTS | $436.64 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $436.64 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $436.64 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $436.64 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $458.47 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $475.94 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $523.97 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $624.91 | ↑ +43% |
| HORIZON | PIP | $1,074.15 | ↑ +146% |
| HORIZON | WORKERS COMP | $1,108.64 | ↑ +154% |
| OXFORD | ALL PRODUCTS | $1,172.99 | ↑ +169% |
| UNITED HEALTHCARE | HMO | $1,281.72 | ↑ +194% |
| AETNA | ASA | $1,291.95 | ↑ +196% |
| CIGNA | BH | $1,320.00 | ↑ +202% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,402.50 | ↑ +221% |
| QUALCARE | WORKERS COMP | $1,498.20 | ↑ +243% |
| QUALCARE | PPO | $1,498.20 | ↑ +243% |
| QUALCARE | HMO | $1,498.20 | ↑ +243% |
| HORIZON | SHP | $7,264.00 | ↑ +1564% |
| HORIZON | INDEMNITY | $7,867.00 | ↑ +1702% |
| HORIZON | HMO | $7,869.00 | ↑ +1702% |
| HORIZON | PPO | $8,077.00 | ↑ +1750% |
| 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 layered repair 12.6 - 20.0 cm -12055 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $442.22 | $368.00 – $530.67 |
| Hackensack University Medical Center | Hackensack | $470.51 | $376.41 – $645.28 |
| Ocean University Medical Center | Brick | $436.64 | $368.00 – $624.91 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $442.61 | $313.24 – $645.28 |
| Jersey Shore University Medical Center | Neptune City | $442.22 | $442.22 – $624.91 |
| Palisades Medical Center | North Bergen | $470.51 | $470.51 – $645.28 |
| Raritan Bay Medical Center | Perth Amboy | $442.61 | $391.55 – $795.00 |
| Riverview Medical Center | Red Bank | $442.22 | $368.00 – $624.91 |