Phleb veins 1 extrm 10-20 stab at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$3,439.84
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.
$8,931.00
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.
$546.70 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 | $546.70 | ↓ -84% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -65% |
| QUALCARE | HMO | $1,525.00 | ↓ -56% |
| CLOVER | MEDICARE ADVANTAGE | $1,607.58 | ↓ -53% |
| AETNA | MANAGED MEDICAID | $1,652.24 | ↓ -52% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↓ -51% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,830.86 | ↓ -47% |
| AETNA | MEDICARE ADVANTAGE | $1,866.58 | ↓ -46% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,439.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,439.84 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,439.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,439.84 | ↑ +0% |
| CIGNA | HMO | $3,586.00 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,611.83 | ↑ +5% |
| CIGNA | PPO | $4,011.00 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $4,127.81 | ↑ +20% |
| HORIZON | PIP | $5,814.08 | ↑ +69% |
| HORIZON | WORKERS COMP | $6,000.74 | ↑ +74% |
| HORIZON | OMNIA | $6,449.08 | ↑ +87% |
| BERGEN RISK | ALL PRODUCTS | $6,698.25 | ↑ +95% |
| AETNA | ASA | $6,992.97 | ↑ +103% |
| CIGNA | BH | $7,144.80 | ↑ +108% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,591.35 | ↑ +121% |
| HORIZON | SHP | $7,666.37 | ↑ +123% |
| AMERIHEALTH | LOCAL HMO | $7,755.68 | ↑ +125% |
| HORIZON | INDEMNITY | $7,948.59 | ↑ +131% |
| HORIZON | HMO | $7,953.95 | ↑ +131% |
| QUALCARE | PPO | $8,109.35 | ↑ +136% |
| QUALCARE | WORKERS COMP | $8,109.35 | ↑ +136% |
| HORIZON | PPO | $8,164.72 | ↑ +137% |
| AMERIHEALTH | REGIONAL HMO | $8,784.53 | ↑ +155% |
| AETNA | HMO | $9,383.00 | ↑ +173% |
| AETNA | PPO | $9,383.00 | ↑ +173% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +189% |
| OXFORD | ALL PRODUCTS | $11,243.00 | ↑ +227% |
| UNITED HEALTHCARE | HMO | $14,007.00 | ↑ +307% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Phleb veins 1 extrm 10-20 stab at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $214.69 – $6,879.68 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $571.04 – $7,062.48 |
| Community Medical Center | Toms River | $3,786.00 | $584.80 – $6,845.28 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $564.16 – $7,027.17 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $221.00 – $7,062.48 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $277.83 – $7,376.29 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,128.32 – $6,932.84 |
| Bayshore Medical Center | Holmdel | $3,483.84 | $3,483.84 – $4,180.61 |