Laser treatment of retina at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$4,396.50
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.
$7,734.00
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.
$1,392.12 with CLOVER vs $19,696.00 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $1,392.12 | ↓ -68% |
| AETNA | MANAGED MEDICAID | $1,430.79 | ↓ -67% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,585.47 | ↓ -64% |
| KARNA | MEDICARE ADVANTAGE | $2,125.39 | ↓ -52% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -46% |
| HORIZON | MANAGED MEDICAID | $2,651.00 | ↓ -40% |
| QUALCARE | HMO | $4,391.00 | ↓ -0% |
| VACCN | ALL PRODUCTS | $4,396.50 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $4,396.50 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $4,396.50 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $4,396.50 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,616.33 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4,792.19 | ↑ +9% |
| HORIZON | PIP | $5,034.83 | ↑ +15% |
| HORIZON | WORKERS COMP | $5,196.47 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $5,275.80 | ↑ +20% |
| HORIZON | OMNIA | $5,584.72 | ↑ +27% |
| BERGEN RISK | ALL PRODUCTS | $5,800.50 | ↑ +32% |
| AETNA | ASA | $6,055.72 | ↑ +38% |
| CIGNA | BH | $6,187.20 | ↑ +41% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,573.90 | ↑ +50% |
| HORIZON | SHP | $6,638.87 | ↑ +51% |
| AMERIHEALTH | LOCAL HMO | $6,716.21 | ↑ +53% |
| CIGNA | HMO | $6,724.00 | ↑ +53% |
| HORIZON | INDEMNITY | $6,883.26 | ↑ +57% |
| HORIZON | HMO | $6,887.90 | ↑ +57% |
| QUALCARE | PPO | $7,022.47 | ↑ +60% |
| QUALCARE | WORKERS COMP | $7,022.47 | ↑ +60% |
| HORIZON | PPO | $7,070.42 | ↑ +61% |
| CIGNA | PPO | $7,532.00 | ↑ +71% |
| AMERIHEALTH | REGIONAL HMO | $7,607.16 | ↑ +73% |
| AETNA | HMO | $9,383.00 | ↑ +113% |
| AETNA | PPO | $9,383.00 | ↑ +113% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +126% |
| OXFORD | ALL PRODUCTS | $15,728.00 | ↑ +258% |
| UNITED HEALTHCARE | HMO | $19,696.00 | ↑ +348% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Laser treatment of retina at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $522.92 – $8,793.00 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $857.56 – $9,026.66 |
| Community Medical Center | Toms River | $3,786.00 | $878.22 – $8,749.04 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $847.22 – $8,981.53 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $538.30 – $9,026.66 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $676.72 – $9,427.74 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,694.45 – $8,860.95 |
| Bayshore Medical Center | Holmdel | $4,452.74 | $4,452.74 – $5,343.29 |