Insertion ureth cath at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$2,238.78
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.
$4,338.00
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.
$780.84 with CLOVER 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $780.84 | ↓ -65% |
| AETNA | MANAGED MEDICAID | $802.53 | ↓ -64% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $889.29 | ↓ -60% |
| KARNA | MEDICARE ADVANTAGE | $1,033.02 | ↓ -54% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -47% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↓ -25% |
| QUALCARE | HMO | $1,982.00 | ↓ -11% |
| WELLCARE | MEDICARE ADVANTAGE | $2,238.78 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,238.78 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,238.78 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,238.78 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,350.71 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $2,440.27 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,686.53 | ↑ +20% |
| HORIZON | PIP | $2,824.04 | ↑ +26% |
| HORIZON | WORKERS COMP | $2,914.70 | ↑ +30% |
| HORIZON | OMNIA | $3,132.47 | ↑ +40% |
| BERGEN RISK | ALL PRODUCTS | $3,253.50 | ↑ +45% |
| AETNA | ASA | $3,396.65 | ↑ +52% |
| CIGNA | BH | $3,470.40 | ↑ +55% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,687.30 | ↑ +65% |
| HORIZON | SHP | $3,723.74 | ↑ +66% |
| AMERIHEALTH | LOCAL HMO | $3,767.12 | ↑ +68% |
| HORIZON | INDEMNITY | $3,860.82 | ↑ +72% |
| HORIZON | HMO | $3,863.42 | ↑ +73% |
| QUALCARE | PPO | $3,938.90 | ↑ +76% |
| QUALCARE | WORKERS COMP | $3,938.90 | ↑ +76% |
| HORIZON | PPO | $3,965.80 | ↑ +77% |
| OXFORD | ALL PRODUCTS | $4,125.00 | ↑ +84% |
| AMERIHEALTH | REGIONAL HMO | $4,266.86 | ↑ +91% |
| CIGNA | HMO | $4,412.00 | ↑ +97% |
| CIGNA | PPO | $4,941.00 | ↑ +121% |
| UNITED HEALTHCARE | HMO | $4,986.00 | ↑ +123% |
| AETNA | PPO | $9,383.00 | ↑ +319% |
| AETNA | HMO | $9,383.00 | ↑ +319% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +344% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Insertion ureth cath at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $426.62 – $4,596.52 |
| Community Medical Center | Toms River | $3,786.00 | $436.90 – $4,455.17 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $421.48 – $4,573.54 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $328.90 – $4,800.78 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $842.96 – $4,512.15 |
| Bayshore Medical Center | Holmdel | $2,267.41 | $2,267.41 – $2,720.90 |
| Hackensack University Medical Center | Hackensack | $2,412.45 | $1,066.04 – $2,533.07 |
| Ocean University Medical Center | Brick | $2,238.78 | $1,033.02 – $2,686.53 |