Insertion of cannula at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$3,439.84
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.
$6,521.00
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.
$424.13 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $424.13 | ↓ -88% |
| CLOVER | MEDICARE ADVANTAGE | $1,173.78 | ↓ -66% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -65% |
| AETNA | MANAGED MEDICAID | $1,206.39 | ↓ -65% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,336.81 | ↓ -61% |
| HORIZON | MANAGED MEDICAID | $1,361.00 | ↓ -60% |
| QUALCARE | HMO | $2,255.00 | ↓ -34% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,439.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,439.84 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,439.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,439.84 | ↑ +0% |
| CIGNA | HMO | $3,586.00 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,611.83 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,749.43 | ↑ +9% |
| CIGNA | PPO | $4,011.00 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $4,127.81 | ↑ +20% |
| HORIZON | PIP | $4,245.17 | ↑ +23% |
| HORIZON | WORKERS COMP | $4,381.46 | ↑ +27% |
| HORIZON | OMNIA | $4,708.81 | ↑ +37% |
| BERGEN RISK | ALL PRODUCTS | $4,890.75 | ↑ +42% |
| AETNA | ASA | $5,105.94 | ↑ +48% |
| CIGNA | BH | $5,216.80 | ↑ +52% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,542.85 | ↑ +61% |
| HORIZON | SHP | $5,597.63 | ↑ +63% |
| AMERIHEALTH | LOCAL HMO | $5,662.84 | ↑ +65% |
| HORIZON | INDEMNITY | $5,803.69 | ↑ +69% |
| HORIZON | HMO | $5,807.60 | ↑ +69% |
| QUALCARE | PPO | $5,921.07 | ↑ +72% |
| QUALCARE | WORKERS COMP | $5,921.07 | ↑ +72% |
| HORIZON | PPO | $5,961.50 | ↑ +73% |
| AMERIHEALTH | REGIONAL HMO | $6,414.06 | ↑ +86% |
| AETNA | HMO | $9,383.00 | ↑ +173% |
| AETNA | PPO | $9,383.00 | ↑ +173% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +189% |
| OXFORD | ALL PRODUCTS | $11,243.00 | ↑ +227% |
| UNITED HEALTHCARE | HMO | $14,007.00 | ↑ +307% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Insertion of cannula at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $302.12 – $7,062.48 |
| Community Medical Center | Toms River | $3,786.00 | $309.40 – $6,845.28 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $298.48 – $7,027.17 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $135.05 – $7,376.29 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $596.96 – $6,932.84 |
| Bayshore Medical Center | Holmdel | $3,483.84 | $3,483.84 – $4,180.61 |
| Hackensack University Medical Center | Hackensack | $3,706.68 | $436.52 – $3,892.02 |
| Ocean University Medical Center | Brick | $3,439.84 | $424.13 – $4,127.81 |