Intra-atrial pacing at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$8,292.88
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.
$14,018.00
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.
$518.34 with KARNA vs $28,539.00 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 | $518.34 | ↓ -94% |
| CLOVER | MEDICARE ADVANTAGE | $2,523.24 | ↓ -70% |
| AETNA | MANAGED MEDICAID | $2,593.33 | ↓ -69% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,873.69 | ↓ -65% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $8,256.60 | ↓ -0% |
| WELLCARE | MANAGED MEDICAID | $8,292.88 | ↑ +0% |
| VACCN | ALL PRODUCTS | $8,292.88 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $8,292.88 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $8,292.88 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $8,707.53 | ↑ +5% |
| HORIZON | MANAGED MEDICAID | $8,884.61 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $9,039.24 | ↑ +9% |
| HORIZON | PIP | $9,125.72 | ↑ +10% |
| HORIZON | WORKERS COMP | $9,418.69 | ↑ +14% |
| UNITED HEALTHCARE | DSNP | $9,951.46 | ↑ +20% |
| OXFORD | ALL PRODUCTS | $9,965.40 | ↑ +20% |
| HORIZON | OMNIA | $10,122.40 | ↑ +22% |
| BERGEN RISK | ALL PRODUCTS | $10,513.50 | ↑ +27% |
| AETNA | ASA | $10,976.09 | ↑ +32% |
| CIGNA | BH | $11,214.40 | ↑ +35% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $11,915.30 | ↑ +44% |
| HORIZON | SHP | $12,033.05 | ↑ +45% |
| AMERIHEALTH | LOCAL HMO | $12,173.23 | ↑ +47% |
| HORIZON | INDEMNITY | $12,476.02 | ↑ +50% |
| HORIZON | HMO | $12,484.43 | ↑ +51% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $12,616.20 | ↑ +52% |
| AETNA | HMO | $12,619.00 | ↑ +52% |
| AETNA | PPO | $12,619.00 | ↑ +52% |
| QUALCARE | WORKERS COMP | $12,728.34 | ↑ +53% |
| QUALCARE | HMO | $12,728.34 | ↑ +53% |
| QUALCARE | PPO | $12,728.34 | ↑ +53% |
| HORIZON | PPO | $12,815.26 | ↑ +55% |
| CIGNA | HMO | $13,405.41 | ↑ +62% |
| CIGNA | PPO | $13,405.41 | ↑ +62% |
| AMERIHEALTH | REGIONAL HMO | $13,788.10 | ↑ +66% |
| UNITED HEALTHCARE | HMO | $28,539.00 | ↑ +244% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Intra-atrial pacing at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $3,074.88 | $206.89 – $17,026.48 |
| Clara Maass Medical Center | Belleville | $1,955.38 | $204.39 – $16,941.35 |
| Newark Beth Israel Medical Center | Newark | $3,022.64 | $148.14 – $17,026.48 |
| Jersey City Medical Center | Jersey City | $2,830.02 | $186.24 – $17,783.04 |
| Bayshore Medical Center | Holmdel | $8,398.96 | $8,398.96 – $10,078.76 |
| Hackensack University Medical Center | Hackensack | $8,936.20 | $529.29 – $9,383.01 |
| Ocean University Medical Center | Brick | $8,292.88 | $104.00 – $9,951.46 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $8,406.25 | $104.00 – $8,406.25 |