Knee arthroscopy/surgery at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$3,545.97
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.
$7,940.00
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.
$1,189.00 with UNITED HEALTHCARE vs $15,984.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -66% |
| CLOVER | MEDICARE ADVANTAGE | $1,429.20 | ↓ -60% |
| KARNA | MEDICARE ADVANTAGE | $1,446.47 | ↓ -59% |
| AETNA | MANAGED MEDICAID | $1,468.90 | ↓ -59% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,627.70 | ↓ -54% |
| QUALCARE | HMO | $2,255.00 | ↓ -36% |
| HORIZON | MANAGED MEDICAID | $2,897.00 | ↓ -18% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,545.97 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,545.97 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,545.97 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,545.97 | ↑ +0% |
| CIGNA | HMO | $3,586.00 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,723.27 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,865.11 | ↑ +9% |
| CIGNA | PPO | $4,011.00 | ↑ +13% |
| UNITED HEALTHCARE | DSNP | $4,255.16 | ↑ +20% |
| HORIZON | PIP | $5,168.94 | ↑ +46% |
| HORIZON | WORKERS COMP | $5,334.89 | ↑ +50% |
| HORIZON | OMNIA | $5,733.47 | ↑ +62% |
| BERGEN RISK | ALL PRODUCTS | $5,955.00 | ↑ +68% |
| AETNA | ASA | $6,217.02 | ↑ +75% |
| CIGNA | BH | $6,352.00 | ↑ +79% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,749.00 | ↑ +90% |
| HORIZON | SHP | $6,815.70 | ↑ +92% |
| AMERIHEALTH | LOCAL HMO | $6,895.10 | ↑ +94% |
| HORIZON | INDEMNITY | $7,066.60 | ↑ +99% |
| HORIZON | HMO | $7,071.36 | ↑ +99% |
| QUALCARE | PPO | $7,209.52 | ↑ +103% |
| QUALCARE | WORKERS COMP | $7,209.52 | ↑ +103% |
| HORIZON | PPO | $7,258.75 | ↑ +105% |
| AMERIHEALTH | REGIONAL HMO | $7,809.78 | ↑ +120% |
| AETNA | HMO | $9,383.00 | ↑ +165% |
| AETNA | PPO | $9,383.00 | ↑ +165% |
| OXFORD | ALL PRODUCTS | $11,243.00 | ↑ +217% |
| UNITED HEALTHCARE | HMO | $14,007.00 | ↑ +295% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $15,984.00 | ↑ +351% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Knee arthroscopy/surgery at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $355.88 – $7,091.94 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $478.78 – $7,280.38 |
| Community Medical Center | Toms River | $3,786.00 | $490.31 – $7,056.48 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $473.01 – $7,243.98 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $366.35 – $7,280.38 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $460.55 – $7,603.89 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $946.02 – $7,146.75 |
| Bayshore Medical Center | Holmdel | $3,591.33 | $3,591.33 – $15,984.00 |