Ghs layered repair 20.1 - 30.0 cm -12046 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$668.98
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.
$2,145.00
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.
$386.10 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 | $386.10 | ↓ -42% |
| AETNA | MANAGED MEDICAID | $396.83 | ↓ -41% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $439.73 | ↓ -34% |
| KARNA | MEDICARE ADVANTAGE | $662.80 | ↓ -1% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $668.98 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $668.98 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $668.98 | ↑ +0% |
| VACCN | ALL PRODUCTS | $668.98 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $702.43 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $729.19 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $802.78 | ↑ +20% |
| HORIZON | PIP | $1,396.40 | ↑ +109% |
| HORIZON | WORKERS COMP | $1,441.23 | ↑ +115% |
| OXFORD | ALL PRODUCTS | $1,524.88 | ↑ +128% |
| UNITED HEALTHCARE | HMO | $1,666.24 | ↑ +149% |
| AETNA | ASA | $1,679.54 | ↑ +151% |
| CIGNA | BH | $1,716.00 | ↑ +157% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,823.25 | ↑ +173% |
| QUALCARE | WORKERS COMP | $1,947.66 | ↑ +191% |
| QUALCARE | PPO | $1,947.66 | ↑ +191% |
| QUALCARE | HMO | $1,947.66 | ↑ +191% |
| HORIZON | SHP | $7,264.00 | ↑ +986% |
| HORIZON | INDEMNITY | $7,867.00 | ↑ +1076% |
| HORIZON | HMO | $7,869.00 | ↑ +1076% |
| HORIZON | PPO | $8,077.00 | ↑ +1107% |
| 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 20.1 - 30.0 cm -12046 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $677.54 | $368.00 – $813.05 |
| Hackensack University Medical Center | Hackensack | $720.88 | $576.70 – $756.93 |
| Ocean University Medical Center | Brick | $668.98 | $368.00 – $802.78 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $678.13 | $382.14 – $683.93 |
| Jersey Shore University Medical Center | Neptune City | $677.54 | $662.80 – $813.05 |
| Palisades Medical Center | North Bergen | $720.88 | $683.93 – $785.76 |
| Raritan Bay Medical Center | Perth Amboy | $678.13 | $477.68 – $813.76 |
| Riverview Medical Center | Red Bank | $677.54 | $368.00 – $813.05 |