Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$1,770.73
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.
$2,946.00
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.
$172.38 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 | $172.38 | ↓ -90% |
| CLOVER | MEDICARE ADVANTAGE | $530.28 | ↓ -70% |
| AETNA | MANAGED MEDICAID | $545.01 | ↓ -69% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $603.93 | ↓ -66% |
| HORIZON | MANAGED MEDICAID | $903.00 | ↓ -49% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -33% |
| QUALCARE | HMO | $1,525.00 | ↓ -14% |
| VACCN | ALL PRODUCTS | $1,770.73 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,770.73 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,770.73 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,770.73 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,859.26 | ↑ +5% |
| HORIZON | PIP | $1,917.85 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $1,930.09 | ↑ +9% |
| HORIZON | WORKERS COMP | $1,979.42 | ↑ +12% |
| UNITED HEALTHCARE | DSNP | $2,124.87 | ↑ +20% |
| HORIZON | OMNIA | $2,127.31 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $2,209.50 | ↑ +25% |
| CIGNA | HMO | $2,249.00 | ↑ +27% |
| AETNA | ASA | $2,306.72 | ↑ +30% |
| CIGNA | BH | $2,356.80 | ↑ +33% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,504.10 | ↑ +41% |
| CIGNA | PPO | $2,518.00 | ↑ +42% |
| HORIZON | SHP | $2,528.85 | ↑ +43% |
| AMERIHEALTH | LOCAL HMO | $2,558.31 | ↑ +44% |
| HORIZON | INDEMNITY | $2,621.94 | ↑ +48% |
| HORIZON | HMO | $2,623.71 | ↑ +48% |
| QUALCARE | PPO | $2,674.97 | ↑ +51% |
| QUALCARE | WORKERS COMP | $2,674.97 | ↑ +51% |
| HORIZON | PPO | $2,693.23 | ↑ +52% |
| AMERIHEALTH | REGIONAL HMO | $2,897.69 | ↑ +64% |
| OXFORD | ALL PRODUCTS | $4,125.00 | ↑ +133% |
| UNITED HEALTHCARE | HMO | $4,986.00 | ↑ +182% |
| AETNA | PPO | $9,383.00 | ↑ +430% |
| AETNA | HMO | $9,383.00 | ↑ +430% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +461% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $65.92 – $3,541.46 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $114.34 – $3,635.56 |
| Community Medical Center | Toms River | $3,786.00 | $117.10 – $3,523.75 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $112.96 – $3,617.38 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $67.86 – $3,635.56 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $85.31 – $3,797.10 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $225.93 – $3,568.83 |
| Bayshore Medical Center | Holmdel | $1,793.38 | $1,793.38 – $2,152.05 |