Njx px peyronie ds exps plaq at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$5,555.79
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.
$6,681.00
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.
$1,100.69 with KARNA vs $14,007.00 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $1,100.69 | ↓ -80% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -79% |
| CLOVER | MEDICARE ADVANTAGE | $1,202.58 | ↓ -78% |
| AETNA | MANAGED MEDICAID | $1,235.99 | ↓ -78% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,369.61 | ↓ -75% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↓ -70% |
| QUALCARE | HMO | $2,744.00 | ↓ -51% |
| HORIZON | PIP | $4,349.33 | ↓ -22% |
| CIGNA | HMO | $4,412.00 | ↓ -21% |
| HORIZON | WORKERS COMP | $4,488.96 | ↓ -19% |
| HORIZON | OMNIA | $4,824.35 | ↓ -13% |
| CIGNA | PPO | $4,941.00 | ↓ -11% |
| BERGEN RISK | ALL PRODUCTS | $5,010.75 | ↓ -10% |
| AETNA | ASA | $5,231.22 | ↓ -6% |
| CIGNA | BH | $5,344.80 | ↓ -4% |
| VACCN | ALL PRODUCTS | $5,555.79 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $5,555.79 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $5,555.79 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $5,555.79 | ↑ +0% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,678.85 | ↑ +2% |
| HORIZON | SHP | $5,734.97 | ↑ +3% |
| AMERIHEALTH | LOCAL HMO | $5,801.78 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $5,833.58 | ↑ +5% |
| HORIZON | INDEMNITY | $5,946.09 | ↑ +7% |
| HORIZON | HMO | $5,950.10 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $6,055.81 | ↑ +9% |
| QUALCARE | WORKERS COMP | $6,066.35 | ↑ +9% |
| QUALCARE | PPO | $6,066.35 | ↑ +9% |
| HORIZON | PPO | $6,107.77 | ↑ +10% |
| AMERIHEALTH | REGIONAL HMO | $6,571.43 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $6,666.94 | ↑ +20% |
| AETNA | PPO | $9,383.00 | ↑ +69% |
| AETNA | HMO | $9,383.00 | ↑ +69% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +79% |
| OXFORD | ALL PRODUCTS | $11,243.00 | ↑ +102% |
| UNITED HEALTHCARE | HMO | $14,007.00 | ↑ +152% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Njx px peyronie ds exps plaq at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $270.81 – $11,111.58 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $343.47 – $11,406.84 |
| Community Medical Center | Toms River | $3,786.00 | $351.75 – $11,056.02 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $339.33 – $11,349.81 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $278.78 – $11,406.84 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $350.46 – $11,913.69 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $678.66 – $11,197.45 |
| Bayshore Medical Center | Holmdel | $5,626.86 | $5,626.86 – $6,752.23 |