Intraventricular 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.
$12,805.00
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.
$634.93 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 | $634.93 | ↓ -92% |
| CLOVER | MEDICARE ADVANTAGE | $2,304.90 | ↓ -72% |
| AETNA | MANAGED MEDICAID | $2,368.93 | ↓ -71% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,625.03 | ↓ -68% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $7,542.15 | ↓ -9% |
| HORIZON | MANAGED MEDICAID | $8,115.81 | ↓ -2% |
| VACCN | ALL PRODUCTS | $8,292.88 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $8,292.88 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $8,292.88 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $8,292.88 | ↑ +0% |
| HORIZON | PIP | $8,336.06 | ↑ +1% |
| HORIZON | WORKERS COMP | $8,603.68 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $8,707.53 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $9,039.24 | ↑ +9% |
| OXFORD | ALL PRODUCTS | $9,103.07 | ↑ +10% |
| HORIZON | OMNIA | $9,246.49 | ↑ +11% |
| BERGEN RISK | ALL PRODUCTS | $9,603.75 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $9,951.46 | ↑ +20% |
| AETNA | ASA | $10,026.32 | ↑ +21% |
| CIGNA | BH | $10,244.00 | ↑ +24% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $10,884.25 | ↑ +31% |
| HORIZON | SHP | $10,991.81 | ↑ +33% |
| AMERIHEALTH | LOCAL HMO | $11,119.86 | ↑ +34% |
| HORIZON | INDEMNITY | $11,396.45 | ↑ +37% |
| HORIZON | HMO | $11,404.13 | ↑ +38% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,524.50 | ↑ +39% |
| AETNA | HMO | $11,527.06 | ↑ +39% |
| AETNA | PPO | $11,527.06 | ↑ +39% |
| QUALCARE | WORKERS COMP | $11,626.94 | ↑ +40% |
| QUALCARE | HMO | $11,626.94 | ↑ +40% |
| QUALCARE | PPO | $11,626.94 | ↑ +40% |
| HORIZON | PPO | $11,706.33 | ↑ +41% |
| CIGNA | HMO | $12,245.42 | ↑ +48% |
| CIGNA | PPO | $12,245.42 | ↑ +48% |
| AMERIHEALTH | REGIONAL HMO | $12,595.00 | ↑ +52% |
| UNITED HEALTHCARE | HMO | $28,539.00 | ↑ +244% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Intraventricular pacing at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $2,547.67 | $302.12 – $17,026.48 |
| Clara Maass Medical Center | Belleville | $1,955.38 | $298.48 – $16,941.35 |
| Newark Beth Israel Medical Center | Newark | $2,504.39 | $147.50 – $17,026.48 |
| Jersey City Medical Center | Jersey City | $2,830.02 | $185.43 – $17,783.04 |
| Bayshore Medical Center | Holmdel | $8,398.96 | $8,398.96 – $10,078.76 |
| Hackensack University Medical Center | Hackensack | $8,936.20 | $648.34 – $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 |