Insert pm/icd lead dual at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$9,044.65
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.
$16,906.00
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.
$751.25 with KARNA vs $16,628.74 with AMERIHEALTH — 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 | $751.25 | ↓ -92% |
| CLOVER | MEDICARE ADVANTAGE | $3,043.08 | ↓ -66% |
| AETNA | MANAGED MEDICAID | $3,127.61 | ↓ -65% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $3,465.73 | ↓ -62% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $9,044.65 | ↑ +0% |
| VACCN | ALL PRODUCTS | $9,044.65 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $9,044.65 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $9,044.65 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $9,496.89 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $9,858.67 | ↑ +9% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $9,957.63 | ↑ +10% |
| HORIZON | MANAGED MEDICAID | $10,715.02 | ↑ +18% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $10,819.84 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $10,853.58 | ↑ +20% |
| HORIZON | PIP | $11,005.81 | ↑ +22% |
| HORIZON | WORKERS COMP | $11,359.14 | ↑ +26% |
| OXFORD | ALL PRODUCTS | $12,018.48 | ↑ +33% |
| HORIZON | OMNIA | $12,207.82 | ↑ +35% |
| BERGEN RISK | ALL PRODUCTS | $12,679.50 | ↑ +40% |
| UNITED HEALTHCARE | HMO | $13,132.58 | ↑ +45% |
| AETNA | ASA | $13,237.40 | ↑ +46% |
| CIGNA | BH | $13,524.80 | ↑ +50% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $14,370.10 | ↑ +59% |
| HORIZON | SHP | $14,512.11 | ↑ +60% |
| AMERIHEALTH | LOCAL HMO | $14,681.17 | ↑ +62% |
| HORIZON | INDEMNITY | $15,046.34 | ↑ +66% |
| HORIZON | HMO | $15,056.48 | ↑ +66% |
| AETNA | HMO | $15,218.78 | ↑ +68% |
| AETNA | PPO | $15,218.78 | ↑ +68% |
| QUALCARE | PPO | $15,350.65 | ↑ +70% |
| QUALCARE | HMO | $15,350.65 | ↑ +70% |
| QUALCARE | WORKERS COMP | $15,350.65 | ↑ +70% |
| HORIZON | PPO | $15,455.47 | ↑ +71% |
| CIGNA | HMO | $16,167.21 | ↑ +79% |
| CIGNA | PPO | $16,167.21 | ↑ +79% |
| AMERIHEALTH | REGIONAL HMO | $16,628.74 | ↑ +84% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Insert pm/icd lead dual at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $184.83 – $18,089.30 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $408.36 – $18,569.98 |
| Community Medical Center | Toms River | $3,786.00 | $418.20 – $17,998.85 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $403.44 – $18,477.13 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $190.27 – $18,569.98 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $239.20 – $19,395.12 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $806.88 – $18,229.10 |
| Bayshore Medical Center | Holmdel | $9,160.35 | $9,160.35 – $10,992.42 |