Lavage cannulation maxillary sinus at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$253.79
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.
$837.00
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.
$0.01 with CIGNA vs $9,933.00 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 |
|---|---|---|---|
| CIGNA | HMO | $0.01 | ↓ -100% |
| CIGNA | PPO | $0.01 | ↓ -100% |
| CLOVER | MEDICARE ADVANTAGE | $150.66 | ↓ -41% |
| AETNA | MANAGED MEDICAID | $154.85 | ↓ -39% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $171.59 | ↓ -32% |
| KARNA | MEDICARE ADVANTAGE | $233.55 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $253.79 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $253.79 | ↑ +0% |
| VACCN | ALL PRODUCTS | $253.79 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $253.79 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $266.48 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $276.63 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $304.55 | ↑ +20% |
| HORIZON | PIP | $544.89 | ↑ +115% |
| HORIZON | WORKERS COMP | $562.38 | ↑ +122% |
| HORIZON | OMNIA | $604.40 | ↑ +138% |
| BERGEN RISK | ALL PRODUCTS | $627.75 | ↑ +147% |
| AETNA | ASA | $655.37 | ↑ +158% |
| CIGNA | BH | $669.60 | ↑ +164% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $711.45 | ↑ +180% |
| HORIZON | SHP | $718.48 | ↑ +183% |
| AMERIHEALTH | LOCAL HMO | $726.85 | ↑ +186% |
| HORIZON | INDEMNITY | $744.93 | ↑ +194% |
| HORIZON | HMO | $745.43 | ↑ +194% |
| QUALCARE | PPO | $760.00 | ↑ +199% |
| QUALCARE | WORKERS COMP | $760.00 | ↑ +199% |
| HORIZON | PPO | $765.19 | ↑ +202% |
| AMERIHEALTH | REGIONAL HMO | $823.27 | ↑ +224% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +368% |
| QUALCARE | HMO | $1,525.00 | ↑ +501% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↑ +562% |
| OXFORD | ALL PRODUCTS | $2,837.00 | ↑ +1018% |
| UNITED HEALTHCARE | HMO | $3,352.00 | ↑ +1221% |
| AETNA | PPO | $9,383.00 | ↑ +3597% |
| AETNA | HMO | $9,383.00 | ↑ +3597% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +3814% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lavage cannulation maxillary sinus at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $19.42 – $1,673.82 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $41.83 – $521.06 |
| Community Medical Center | Toms River | $3,786.00 | $42.84 – $505.04 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $41.33 – $518.45 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $19.99 – $521.06 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $25.13 – $544.23 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $82.66 – $511.51 |
| Bayshore Medical Center | Holmdel | $257.04 | $257.04 – $308.44 |