Insert tissue expander(s) at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$4,001.00
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.
$7,076.00
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.
$1,188.00 with HORIZON vs $14,007.00 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $1,188.00 | ↓ -70% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -70% |
| CLOVER | MEDICARE ADVANTAGE | $1,273.68 | ↓ -68% |
| AETNA | MANAGED MEDICAID | $1,309.06 | ↓ -67% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,450.58 | ↓ -64% |
| QUALCARE | HMO | $1,982.00 | ↓ -50% |
| KARNA | MEDICARE ADVANTAGE | $2,129.35 | ↓ -47% |
| CIGNA | HMO | $3,133.00 | ↓ -22% |
| CIGNA | PPO | $3,508.00 | ↓ -12% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,001.00 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $4,001.00 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4,001.00 | ↑ +0% |
| VACCN | ALL PRODUCTS | $4,001.00 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,201.05 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4,361.09 | ↑ +9% |
| HORIZON | PIP | $4,606.48 | ↑ +15% |
| HORIZON | WORKERS COMP | $4,754.36 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $4,801.20 | ↑ +20% |
| HORIZON | OMNIA | $5,109.58 | ↑ +28% |
| BERGEN RISK | ALL PRODUCTS | $5,307.00 | ↑ +33% |
| AETNA | ASA | $5,540.51 | ↑ +38% |
| CIGNA | BH | $5,660.80 | ↑ +41% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,014.60 | ↑ +50% |
| HORIZON | SHP | $6,074.04 | ↑ +52% |
| AMERIHEALTH | LOCAL HMO | $6,144.80 | ↑ +54% |
| HORIZON | INDEMNITY | $6,297.64 | ↑ +57% |
| HORIZON | HMO | $6,301.89 | ↑ +58% |
| QUALCARE | PPO | $6,425.01 | ↑ +61% |
| QUALCARE | WORKERS COMP | $6,425.01 | ↑ +61% |
| HORIZON | PPO | $6,468.88 | ↑ +62% |
| AMERIHEALTH | REGIONAL HMO | $6,959.95 | ↑ +74% |
| AETNA | HMO | $9,383.00 | ↑ +135% |
| AETNA | PPO | $9,383.00 | ↑ +135% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +148% |
| OXFORD | ALL PRODUCTS | $11,243.00 | ↑ +181% |
| UNITED HEALTHCARE | HMO | $14,007.00 | ↑ +250% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Insert tissue expander(s) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $523.89 – $8,002.00 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $578.49 – $8,214.64 |
| Community Medical Center | Toms River | $3,786.00 | $592.43 – $7,961.99 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $571.52 – $8,173.57 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $539.30 – $8,214.64 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $627.28 – $8,579.65 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,143.05 – $8,063.84 |
| Bayshore Medical Center | Holmdel | $4,052.18 | $4,052.18 – $4,862.62 |