Kidney endoscopy at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$5,555.79
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.
$7,798.00
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.
$633.97 with KARNA vs $10,216.00 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 | $633.97 | ↓ -89% |
| HORIZON | MANAGED MEDICAID | $903.00 | ↓ -84% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -79% |
| CLOVER | MEDICARE ADVANTAGE | $1,403.64 | ↓ -75% |
| AETNA | MANAGED MEDICAID | $1,442.63 | ↓ -74% |
| QUALCARE | HMO | $1,525.00 | ↓ -73% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,598.59 | ↓ -71% |
| CIGNA | HMO | $2,249.00 | ↓ -60% |
| CIGNA | PPO | $2,518.00 | ↓ -55% |
| HORIZON | PIP | $5,076.50 | ↓ -9% |
| HORIZON | WORKERS COMP | $5,239.48 | ↓ -6% |
| WELLCARE | MEDICARE ADVANTAGE | $5,555.79 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,555.79 | ↑ +0% |
| VACCN | ALL PRODUCTS | $5,555.79 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $5,555.79 | ↑ +0% |
| HORIZON | OMNIA | $5,630.94 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5,833.58 | ↑ +5% |
| BERGEN RISK | ALL PRODUCTS | $5,848.50 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $6,055.81 | ↑ +9% |
| AETNA | ASA | $6,105.83 | ↑ +10% |
| CIGNA | BH | $6,238.40 | ↑ +12% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,628.30 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $6,666.94 | ↑ +20% |
| HORIZON | SHP | $6,693.80 | ↑ +20% |
| AMERIHEALTH | LOCAL HMO | $6,771.78 | ↑ +22% |
| HORIZON | INDEMNITY | $6,940.22 | ↑ +25% |
| HORIZON | HMO | $6,944.90 | ↑ +25% |
| QUALCARE | WORKERS COMP | $7,080.58 | ↑ +27% |
| QUALCARE | PPO | $7,080.58 | ↑ +27% |
| HORIZON | PPO | $7,128.93 | ↑ +28% |
| AMERIHEALTH | REGIONAL HMO | $7,670.11 | ↑ +38% |
| OXFORD | ALL PRODUCTS | $8,251.00 | ↑ +49% |
| AETNA | HMO | $9,383.00 | ↑ +69% |
| AETNA | PPO | $9,383.00 | ↑ +69% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +79% |
| UNITED HEALTHCARE | HMO | $10,216.00 | ↑ +84% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Kidney endoscopy at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $196.86 – $11,111.58 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $259.11 – $11,406.84 |
| Community Medical Center | Toms River | $3,786.00 | $265.35 – $11,056.02 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $255.99 – $11,349.81 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $202.65 – $11,406.84 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $254.76 – $11,913.69 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $511.98 – $11,197.45 |
| Bayshore Medical Center | Holmdel | $5,626.86 | $5,626.86 – $6,752.23 |