Njx interlaminar lmbr/sac at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$972.98
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.
$2,067.00
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.
$219.90 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $219.90 | ↓ -77% |
| CLOVER | MEDICARE ADVANTAGE | $372.06 | ↓ -62% |
| AETNA | MANAGED MEDICAID | $382.40 | ↓ -61% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $423.74 | ↓ -56% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $972.98 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $972.98 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $972.98 | ↑ +0% |
| VACCN | ALL PRODUCTS | $972.98 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,021.63 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,060.55 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $1,167.58 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +22% |
| HORIZON | PIP | $1,345.62 | ↑ +38% |
| HORIZON | WORKERS COMP | $1,388.82 | ↑ +43% |
| HORIZON | OMNIA | $1,492.58 | ↑ +53% |
| BERGEN RISK | ALL PRODUCTS | $1,550.25 | ↑ +59% |
| AETNA | ASA | $1,618.46 | ↑ +66% |
| CIGNA | BH | $1,653.60 | ↑ +70% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↑ +73% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,756.95 | ↑ +81% |
| HORIZON | SHP | $1,774.31 | ↑ +82% |
| AMERIHEALTH | LOCAL HMO | $1,794.98 | ↑ +84% |
| HORIZON | INDEMNITY | $1,839.63 | ↑ +89% |
| HORIZON | HMO | $1,840.87 | ↑ +89% |
| QUALCARE | PPO | $1,876.84 | ↑ +93% |
| QUALCARE | WORKERS COMP | $1,876.84 | ↑ +93% |
| QUALCARE | HMO | $1,876.84 | ↑ +93% |
| HORIZON | PPO | $1,889.65 | ↑ +94% |
| AMERIHEALTH | REGIONAL HMO | $2,033.10 | ↑ +109% |
| CIGNA | HMO | $3,133.00 | ↑ +222% |
| CIGNA | PPO | $3,508.00 | ↑ +261% |
| OXFORD | ALL PRODUCTS | $4,125.00 | ↑ +324% |
| UNITED HEALTHCARE | HMO | $4,986.00 | ↑ +412% |
| AETNA | PPO | $9,383.00 | ↑ +864% |
| AETNA | HMO | $9,383.00 | ↑ +864% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +921% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Njx interlaminar lmbr/sac at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $141.66 – $1,945.96 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $166.64 – $1,997.66 |
| Community Medical Center | Toms River | $3,786.00 | $166.64 – $1,936.23 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $166.64 – $1,987.67 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $145.82 – $1,997.66 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $166.64 – $2,086.44 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $166.64 – $1,961.01 |
| Bayshore Medical Center | Holmdel | $985.43 | $985.43 – $1,182.51 |