Implant tcat pulm vlv perq at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
not published by hospital
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.
$4,018.00
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.
$723.24 with CLOVER vs $11,920.00 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $723.24 | — |
| AETNA | MANAGED MEDICAID | $743.33 | — |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $823.69 | — |
| AETNA | MEDICARE ADVANTAGE | $839.76 | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | — |
| HORIZON | MANAGED MEDICAID | $2,546.61 | — |
| HORIZON | PIP | $2,615.72 | — |
| KARNA | MEDICARE ADVANTAGE | $2,622.93 | — |
| HORIZON | WORKERS COMP | $2,699.69 | — |
| HORIZON | OMNIA | $2,901.40 | — |
| BERGEN RISK | ALL PRODUCTS | $3,013.50 | — |
| AETNA | ASA | $3,146.09 | — |
| CIGNA | BH | $3,214.40 | — |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,415.30 | — |
| HORIZON | SHP | $3,449.05 | — |
| AMERIHEALTH | LOCAL HMO | $3,489.23 | — |
| HORIZON | INDEMNITY | $3,576.02 | — |
| HORIZON | HMO | $3,578.43 | — |
| QUALCARE | WORKERS COMP | $3,648.34 | — |
| QUALCARE | HMO | $3,648.34 | — |
| QUALCARE | PPO | $3,648.34 | — |
| HORIZON | PPO | $3,673.26 | — |
| CIGNA | PPO | $3,842.41 | — |
| CIGNA | HMO | $3,842.41 | — |
| AMERIHEALTH | REGIONAL HMO | $3,952.10 | — |
| OXFORD | ALL PRODUCTS | $7,736.00 | — |
| UNITED HEALTHCARE | HMO | $9,562.00 | — |
| AETNA | HMO | $9,960.00 | — |
| AETNA | PPO | $9,960.00 | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,920.00 | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| WELLCARE | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED HEALTHCARE | DSNP | not published by hospital | — |
| VACCN | ALL PRODUCTS | not published by hospital | — |
| WELLCARE | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Implant tcat pulm vlv perq at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | not published | not published |
| Hackensack University Medical Center | Hackensack | not published | $2,686.53 – $2,686.53 |
| Ocean University Medical Center | Brick | not published | $2,622.93 – $14,806.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | not published | $1,419.10 – $14,806.00 |
| Jersey Shore University Medical Center | Neptune City | not published | $2,622.93 – $2,622.93 |
| Palisades Medical Center | North Bergen | not published | $1,397.81 – $2,686.53 |
| Raritan Bay Medical Center | Perth Amboy | not published | $1,773.88 – $2,686.53 |
| Riverview Medical Center | Red Bank | not published | $2,622.93 – $2,622.93 |