Perc drug-el cor stent sing at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$12,393.88
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.
$23,650.00
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.
$4,257.00 with CLOVER vs $52,056.00 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 |
|---|---|---|---|
| CLOVER | MEDICARE ADVANTAGE | $4,257.00 | ↓ -66% |
| AETNA | MANAGED MEDICAID | $4,375.25 | ↓ -65% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $4,848.25 | ↓ -61% |
| HORIZON | OMNIA | $7,049.00 | ↓ -43% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $7,727.00 | ↓ -38% |
| HORIZON | SHP | $7,963.00 | ↓ -36% |
| HORIZON | INDEMNITY | $8,703.00 | ↓ -30% |
| HORIZON | HMO | $8,706.00 | ↓ -30% |
| HORIZON | PPO | $8,936.00 | ↓ -28% |
| AETNA | HMO | $9,383.00 | ↓ -24% |
| AETNA | PPO | $9,383.00 | ↓ -24% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $12,393.88 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $12,393.88 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $12,393.88 | ↑ +0% |
| VACCN | ALL PRODUCTS | $12,393.88 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $13,013.58 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $13,509.33 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $14,872.66 | ↑ +20% |
| HORIZON | MANAGED MEDICAID | $14,989.37 | ↑ +21% |
| HORIZON | PIP | $15,396.15 | ↑ +24% |
| BERGEN RISK | ALL PRODUCTS | $15,603.00 | ↑ +26% |
| HORIZON | WORKERS COMP | $15,890.44 | ↑ +28% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $17,878.00 | ↑ +44% |
| AETNA | ASA | $18,517.95 | ↑ +49% |
| CIGNA | BH | $18,920.00 | ↑ +53% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $20,102.50 | ↑ +62% |
| QUALCARE | WORKERS COMP | $21,474.20 | ↑ +73% |
| QUALCARE | HMO | $21,474.20 | ↑ +73% |
| QUALCARE | PPO | $21,474.20 | ↑ +73% |
| CIGNA | HMO | $22,616.50 | ↑ +82% |
| CIGNA | PPO | $22,616.50 | ↑ +82% |
| AMERIHEALTH | LOCAL HMO | $23,292.00 | ↑ +88% |
| AMERIHEALTH | REGIONAL HMO | $26,327.00 | ↑ +112% |
| OXFORD | ALL PRODUCTS | $51,105.00 | ↑ +312% |
| UNITED HEALTHCARE | HMO | $52,056.00 | ↑ +320% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Perc drug-el cor stent sing at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $12,563.31 | $11,340.57 – $17,039.00 |
| Jersey Shore University Medical Center | Neptune City | $12,552.42 | $12,552.42 – $15,062.91 |
| Palisades Medical Center | North Bergen | $13,355.34 | $13,355.34 – $14,557.32 |
| Raritan Bay Medical Center | Perth Amboy | $12,563.31 | $9,707.20 – $15,075.97 |
| Riverview Medical Center | Red Bank | $12,552.42 | $12,552.42 – $15,062.91 |
| Trinitas Regional Medical Center | Elizabeth | not published | $6,086.60 – $24,787.76 |
| Cooperman Barnabas Medical Center | Livingston | not published | $12,723.21 – $25,446.42 |
| Community Medical Center | Toms River | not published | $12,393.88 – $24,663.82 |