Nasal/sinus maxillary endoscopy dx 31233 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$424.38
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.
$935.00
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.
$168.30 with CLOVER 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $168.30 | ↓ -60% |
| AETNA | MANAGED MEDICAID | $172.98 | ↓ -59% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $191.68 | ↓ -55% |
| AETNA | MEDICARE ADVANTAGE | $195.42 | ↓ -54% |
| KARNA | MEDICARE ADVANTAGE | $279.79 | ↓ -34% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $424.38 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $424.38 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $424.38 | ↑ +0% |
| VACCN | ALL PRODUCTS | $424.38 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $445.60 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $509.25 | ↑ +20% |
| HORIZON | PIP | $608.69 | ↑ +43% |
| HORIZON | WORKERS COMP | $628.23 | ↑ +48% |
| HORIZON | OMNIA | $675.16 | ↑ +59% |
| BERGEN RISK | ALL PRODUCTS | $701.25 | ↑ +65% |
| AETNA | ASA | $732.11 | ↑ +73% |
| CIGNA | BH | $748.00 | ↑ +76% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $794.75 | ↑ +87% |
| HORIZON | SHP | $802.60 | ↑ +89% |
| AMERIHEALTH | LOCAL HMO | $811.95 | ↑ +91% |
| HORIZON | INDEMNITY | $832.15 | ↑ +96% |
| HORIZON | HMO | $832.71 | ↑ +96% |
| QUALCARE | PPO | $848.98 | ↑ +100% |
| QUALCARE | WORKERS COMP | $848.98 | ↑ +100% |
| HORIZON | PPO | $854.78 | ↑ +101% |
| AMERIHEALTH | REGIONAL HMO | $919.67 | ↑ +117% |
| HORIZON | MANAGED MEDICAID | $1,188.00 | ↑ +180% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +180% |
| QUALCARE | HMO | $1,525.00 | ↑ +259% |
| OXFORD | ALL PRODUCTS | $2,837.00 | ↑ +569% |
| CIGNA | HMO | $3,133.00 | ↑ +638% |
| UNITED HEALTHCARE | HMO | $3,352.00 | ↑ +690% |
| CIGNA | PPO | $3,508.00 | ↑ +727% |
| AETNA | PPO | $9,383.00 | ↑ +2111% |
| AETNA | HMO | $9,383.00 | ↑ +2111% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +2241% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Nasal/sinus maxillary endoscopy dx 31233 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $142.36 – $1,978.15 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $142.76 – $871.30 |
| Community Medical Center | Toms River | $3,786.00 | $146.20 – $844.52 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $141.04 – $866.94 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $146.55 – $871.30 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $154.80 – $910.03 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $282.08 – $855.30 |
| Bayshore Medical Center | Holmdel | $429.80 | $429.80 – $515.77 |