Incise inner eye adhesions at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$599.55
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.
$1,316.00
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.
$236.88 with CLOVER vs $9,933.00 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 | $236.88 | ↓ -60% |
| AETNA | MANAGED MEDICAID | $243.46 | ↓ -59% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $269.78 | ↓ -55% |
| KARNA | MEDICARE ADVANTAGE | $510.81 | ↓ -15% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $599.55 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $599.55 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $599.55 | ↑ +0% |
| VACCN | ALL PRODUCTS | $599.55 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $629.53 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $653.51 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $719.46 | ↑ +20% |
| HORIZON | PIP | $856.72 | ↑ +43% |
| HORIZON | WORKERS COMP | $884.22 | ↑ +47% |
| HORIZON | OMNIA | $950.28 | ↑ +58% |
| BERGEN RISK | ALL PRODUCTS | $987.00 | ↑ +65% |
| AETNA | ASA | $1,030.43 | ↑ +72% |
| CIGNA | BH | $1,052.80 | ↑ +76% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,118.60 | ↑ +87% |
| HORIZON | SHP | $1,129.65 | ↑ +88% |
| AMERIHEALTH | LOCAL HMO | $1,142.81 | ↑ +91% |
| HORIZON | INDEMNITY | $1,171.24 | ↑ +95% |
| HORIZON | HMO | $1,172.03 | ↑ +95% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +98% |
| QUALCARE | WORKERS COMP | $1,194.93 | ↑ +99% |
| QUALCARE | PPO | $1,194.93 | ↑ +99% |
| HORIZON | PPO | $1,203.09 | ↑ +101% |
| AMERIHEALTH | REGIONAL HMO | $1,294.42 | ↑ +116% |
| QUALCARE | HMO | $1,525.00 | ↑ +154% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↑ +180% |
| CIGNA | HMO | $2,249.00 | ↑ +275% |
| CIGNA | PPO | $2,518.00 | ↑ +320% |
| OXFORD | ALL PRODUCTS | $4,125.00 | ↑ +588% |
| UNITED HEALTHCARE | HMO | $4,986.00 | ↑ +732% |
| AETNA | PPO | $9,383.00 | ↑ +1465% |
| AETNA | HMO | $9,383.00 | ↑ +1465% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1557% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Incise inner eye adhesions at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $607.22 | $607.22 – $728.67 |
| Hackensack University Medical Center | Hackensack | $646.06 | $516.85 – $678.37 |
| Ocean University Medical Center | Brick | $599.55 | $510.81 – $719.46 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $607.75 | $359.36 – $607.75 |
| Jersey Shore University Medical Center | Neptune City | $607.22 | $510.81 – $728.67 |
| Palisades Medical Center | North Bergen | $646.06 | $530.11 – $704.21 |
| Raritan Bay Medical Center | Perth Amboy | $607.75 | $530.11 – $729.30 |
| Riverview Medical Center | Red Bank | $607.22 | $510.81 – $728.67 |