Mcp joint arthroscopy dx 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.
not published by hospital
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.
$1,076.09 with KARNA vs $4,255.16 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 | $1,076.09 | ↓ -70% |
| WELLCARE | MANAGED MEDICAID | $3,545.97 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,545.97 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,545.97 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,545.97 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,723.27 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,865.11 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4,255.16 | ↑ +20% |
Visitor-reported prices
Comments
Mcp joint arthroscopy dx at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $264.76 – $7,091.94 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $339.07 – $7,280.38 |
| Community Medical Center | Toms River | $3,786.00 | $347.24 – $7,056.48 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $334.99 – $7,243.98 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $272.55 – $7,280.38 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $342.63 – $7,603.89 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $669.97 – $7,146.75 |
| Bayshore Medical Center | Holmdel | $3,591.33 | $3,591.33 – $4,309.59 |