Prostate biopsy, any mthd at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$393.13
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.
$1,870.00
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.
$345.95 with AETNA vs $1,839.33 with AMERIHEALTH — 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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $345.95 | ↓ -12% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $383.35 | ↓ -2% |
| WELLCARE | MANAGED MEDICAID | $393.13 | ↑ +0% |
| VACCN | ALL PRODUCTS | $393.13 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $393.13 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $393.13 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $412.79 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $428.51 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $471.76 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $597.81 | ↑ +52% |
| KARNA | MEDICARE ADVANTAGE | $642.92 | ↑ +64% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $704.86 | ↑ +79% |
| OXFORD | ALL PRODUCTS | $1,011.67 | ↑ +157% |
| HORIZON | PIP | $1,217.37 | ↑ +210% |
| HORIZON | WORKERS COMP | $1,256.45 | ↑ +220% |
| HORIZON | OMNIA | $1,350.33 | ↑ +243% |
| BERGEN RISK | ALL PRODUCTS | $1,402.50 | ↑ +257% |
| AETNA | ASA | $1,464.21 | ↑ +272% |
| CIGNA | BH | $1,496.00 | ↑ +281% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,496.00 | ↑ +281% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,589.50 | ↑ +304% |
| AETNA | HMO | $1,593.24 | ↑ +305% |
| AETNA | PPO | $1,593.24 | ↑ +305% |
| HORIZON | SHP | $1,605.21 | ↑ +308% |
| AMERIHEALTH | LOCAL HMO | $1,623.91 | ↑ +313% |
| HORIZON | INDEMNITY | $1,664.30 | ↑ +323% |
| HORIZON | HMO | $1,665.42 | ↑ +324% |
| QUALCARE | WORKERS COMP | $1,697.96 | ↑ +332% |
| QUALCARE | HMO | $1,697.96 | ↑ +332% |
| QUALCARE | PPO | $1,697.96 | ↑ +332% |
| HORIZON | PPO | $1,709.55 | ↑ +335% |
| CIGNA | HMO | $1,788.28 | ↑ +355% |
| CIGNA | PPO | $1,788.28 | ↑ +355% |
| AMERIHEALTH | REGIONAL HMO | $1,839.33 | ↑ +368% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Prostate biopsy, any mthd at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $398.51 | $359.72 – $672.81 |
| Jersey Shore University Medical Center | Neptune City | $398.16 | $398.16 – $650.97 |
| Palisades Medical Center | North Bergen | $423.63 | $249.26 – $1,228.50 |
| Raritan Bay Medical Center | Perth Amboy | $398.51 | $398.51 – $672.81 |
| Riverview Medical Center | Red Bank | $398.16 | $398.16 – $642.92 |
| Trinitas Regional Medical Center | Elizabeth | not published | $152.33 – $786.26 |
| Cooperman Barnabas Medical Center | Livingston | not published | $152.33 – $807.16 |
| Community Medical Center | Toms River | not published | $152.33 – $782.33 |