Pr incision & drainage abscess vulva/perineal at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$332.44
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.
$1,184.00
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.
$213.12 with CLOVER vs $8,077.00 with HORIZON — 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 | $213.12 | ↓ -36% |
| AETNA | MANAGED MEDICAID | $219.04 | ↓ -34% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $242.72 | ↓ -27% |
| KARNA | MEDICARE ADVANTAGE | $267.82 | ↓ -19% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $332.44 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $332.44 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $332.44 | ↑ +0% |
| VACCN | ALL PRODUCTS | $332.44 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $349.07 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $362.36 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $398.93 | ↑ +20% |
| HORIZON | PIP | $770.78 | ↑ +132% |
| HORIZON | WORKERS COMP | $795.53 | ↑ +139% |
| OXFORD | ALL PRODUCTS | $841.71 | ↑ +153% |
| UNITED HEALTHCARE | HMO | $919.73 | ↑ +177% |
| AETNA | ASA | $927.07 | ↑ +179% |
| CIGNA | BH | $947.20 | ↑ +185% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,006.40 | ↑ +203% |
| QUALCARE | WORKERS COMP | $1,075.07 | ↑ +223% |
| QUALCARE | PPO | $1,075.07 | ↑ +223% |
| QUALCARE | HMO | $1,075.07 | ↑ +223% |
| HORIZON | SHP | $7,264.00 | ↑ +2085% |
| HORIZON | INDEMNITY | $7,867.00 | ↑ +2266% |
| HORIZON | HMO | $7,869.00 | ↑ +2267% |
| HORIZON | PPO | $8,077.00 | ↑ +2330% |
| AETNA | HMO | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | OMNIA | not published by hospital | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | not published by hospital | — |
| BERGEN RISK | ALL PRODUCTS | not published by hospital | — |
| AMERIHEALTH | REGIONAL HMO | not published by hospital | — |
| AMERIHEALTH | LOCAL HMO | not published by hospital | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| AETNA | PPO | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Pr incision & drainage abscess vulva/perineal at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $76.25 – $1,673.82 |
| Community Medical Center | Toms River | $3,786.00 | $64.09 – $661.56 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $64.09 – $679.15 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $64.09 – $682.56 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $64.09 – $712.88 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $64.09 – $670.03 |
| Bayshore Medical Center | Holmdel | $336.70 | $336.70 – $404.03 |
| Hackensack University Medical Center | Hackensack | $358.23 | $58.10 – $376.14 |