Insertion picc without port or pump with imaging guidance=>5y at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$1,697.72
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.
$5,348.00
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.
$166.59 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $166.59 | ↓ -90% |
| CLOVER | MEDICARE ADVANTAGE | $962.64 | ↓ -43% |
| AETNA | MANAGED MEDICAID | $989.38 | ↓ -42% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,096.34 | ↓ -35% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -30% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↓ -1% |
| WELLCARE | MANAGED MEDICAID | $1,697.72 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,697.72 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,697.72 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,697.72 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,782.61 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,850.52 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,037.27 | ↑ +20% |
| HORIZON | PIP | $3,481.55 | ↑ +105% |
| HORIZON | WORKERS COMP | $3,593.32 | ↑ +112% |
| HORIZON | OMNIA | $3,861.79 | ↑ +127% |
| BERGEN RISK | ALL PRODUCTS | $4,011.00 | ↑ +136% |
| AETNA | ASA | $4,187.48 | ↑ +147% |
| CIGNA | BH | $4,278.40 | ↑ +152% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,545.80 | ↑ +168% |
| HORIZON | SHP | $4,590.72 | ↑ +170% |
| AMERIHEALTH | LOCAL HMO | $4,644.20 | ↑ +174% |
| HORIZON | INDEMNITY | $4,759.72 | ↑ +180% |
| HORIZON | HMO | $4,762.93 | ↑ +181% |
| QUALCARE | PPO | $4,855.98 | ↑ +186% |
| QUALCARE | WORKERS COMP | $4,855.98 | ↑ +186% |
| QUALCARE | HMO | $4,855.98 | ↑ +186% |
| HORIZON | PPO | $4,889.14 | ↑ +188% |
| AMERIHEALTH | REGIONAL HMO | $5,260.29 | ↑ +210% |
| CIGNA | HMO | $5,681.00 | ↑ +235% |
| OXFORD | ALL PRODUCTS | $6,189.00 | ↑ +265% |
| CIGNA | PPO | $6,365.00 | ↑ +275% |
| UNITED HEALTHCARE | HMO | $7,601.00 | ↑ +348% |
| AETNA | PPO | $9,383.00 | ↑ +453% |
| AETNA | HMO | $9,383.00 | ↑ +453% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +485% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Insertion picc without port or pump with imaging guidance=>5y at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $292.59 – $3,485.68 |
| Community Medical Center | Toms River | $3,786.00 | $292.59 – $3,378.46 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $292.59 – $3,468.25 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $253.32 – $3,640.55 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $292.59 – $3,421.69 |
| Bayshore Medical Center | Holmdel | $1,719.44 | $1,719.44 – $2,063.33 |
| Hackensack University Medical Center | Hackensack | $1,829.42 | $171.02 – $1,920.90 |
| Ocean University Medical Center | Brick | $1,697.72 | $166.59 – $2,037.27 |