Insert heyman uteri capsule at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$5,394.95
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.
$6,745.00
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.
$1,032.84 with KARNA vs $10,216.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $1,032.84 | ↓ -81% |
| HORIZON | MANAGED MEDICAID | $1,188.00 | ↓ -78% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -78% |
| CLOVER | MEDICARE ADVANTAGE | $1,214.10 | ↓ -77% |
| AETNA | MANAGED MEDICAID | $1,247.83 | ↓ -77% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,382.73 | ↓ -74% |
| QUALCARE | HMO | $1,982.00 | ↓ -63% |
| CIGNA | HMO | $3,133.00 | ↓ -42% |
| CIGNA | PPO | $3,508.00 | ↓ -35% |
| HORIZON | PIP | $4,391.00 | ↓ -19% |
| HORIZON | WORKERS COMP | $4,531.97 | ↓ -16% |
| HORIZON | OMNIA | $4,870.56 | ↓ -10% |
| BERGEN RISK | ALL PRODUCTS | $5,058.75 | ↓ -6% |
| AETNA | ASA | $5,281.34 | ↓ -2% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,394.95 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $5,394.95 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $5,394.95 | ↑ +0% |
| VACCN | ALL PRODUCTS | $5,394.95 | ↑ +0% |
| CIGNA | BH | $5,396.00 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5,664.69 | ↑ +5% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,733.25 | ↑ +6% |
| HORIZON | SHP | $5,789.91 | ↑ +7% |
| AMERIHEALTH | LOCAL HMO | $5,857.36 | ↑ +9% |
| AETNA | MEDICARE ADVANTAGE | $5,880.49 | ↑ +9% |
| HORIZON | INDEMNITY | $6,003.05 | ↑ +11% |
| HORIZON | HMO | $6,007.10 | ↑ +11% |
| QUALCARE | PPO | $6,124.46 | ↑ +14% |
| QUALCARE | WORKERS COMP | $6,124.46 | ↑ +14% |
| HORIZON | PPO | $6,166.28 | ↑ +14% |
| UNITED HEALTHCARE | DSNP | $6,473.94 | ↑ +20% |
| AMERIHEALTH | REGIONAL HMO | $6,634.38 | ↑ +23% |
| OXFORD | ALL PRODUCTS | $8,251.00 | ↑ +53% |
| AETNA | PPO | $9,383.00 | ↑ +74% |
| AETNA | HMO | $9,383.00 | ↑ +74% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +84% |
| UNITED HEALTHCARE | HMO | $10,216.00 | ↑ +89% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Insert heyman uteri capsule at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $349.32 – $11,076.60 |
| Community Medical Center | Toms River | $3,786.00 | $349.32 – $10,735.95 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $349.32 – $11,021.22 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $328.85 – $11,568.79 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $349.32 – $10,873.28 |
| Bayshore Medical Center | Holmdel | $5,463.96 | $5,463.96 – $6,556.75 |
| Hackensack University Medical Center | Hackensack | $5,813.46 | $1,070.99 – $6,104.13 |
| Ocean University Medical Center | Brick | $5,394.95 | $1,032.84 – $6,473.94 |