Reconstruction of anus at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$2,997.10
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.
?
What you pay up front if you don't use insurance.
$7,370.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,189.00 with UNITED HEALTHCARE vs $10,216.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -60% |
| KARNA | MEDICARE ADVANTAGE | $1,292.21 | ↓ -57% |
| CLOVER | MEDICARE ADVANTAGE | $1,326.60 | ↓ -56% |
| HORIZON | MANAGED MEDICAID | $1,361.00 | ↓ -55% |
| AETNA | MANAGED MEDICAID | $1,363.45 | ↓ -55% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,510.85 | ↓ -50% |
| QUALCARE | HMO | $2,255.00 | ↓ -25% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,997.10 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,997.10 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,997.10 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,997.10 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,146.96 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,266.84 | ↑ +9% |
| CIGNA | HMO | $3,586.00 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $3,596.52 | ↑ +20% |
| CIGNA | PPO | $4,011.00 | ↑ +34% |
| HORIZON | PIP | $4,797.87 | ↑ +60% |
| HORIZON | WORKERS COMP | $4,951.90 | ↑ +65% |
| HORIZON | OMNIA | $5,321.88 | ↑ +78% |
| BERGEN RISK | ALL PRODUCTS | $5,527.50 | ↑ +84% |
| AETNA | ASA | $5,770.71 | ↑ +93% |
| CIGNA | BH | $5,896.00 | ↑ +97% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,264.50 | ↑ +109% |
| HORIZON | SHP | $6,326.41 | ↑ +111% |
| AMERIHEALTH | LOCAL HMO | $6,400.11 | ↑ +114% |
| HORIZON | INDEMNITY | $6,559.30 | ↑ +119% |
| HORIZON | HMO | $6,563.72 | ↑ +119% |
| QUALCARE | PPO | $6,691.96 | ↑ +123% |
| QUALCARE | WORKERS COMP | $6,691.96 | ↑ +123% |
| HORIZON | PPO | $6,737.65 | ↑ +125% |
| AMERIHEALTH | REGIONAL HMO | $7,249.13 | ↑ +142% |
| OXFORD | ALL PRODUCTS | $8,251.00 | ↑ +175% |
| AETNA | HMO | $9,383.00 | ↑ +213% |
| AETNA | PPO | $9,383.00 | ↑ +213% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +231% |
| UNITED HEALTHCARE | HMO | $10,216.00 | ↑ +241% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Reconstruction of anus at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $317.92 – $5,994.20 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $301.29 – $6,153.48 |
| Community Medical Center | Toms River | $3,786.00 | $308.55 – $5,964.23 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $297.66 – $6,122.71 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $327.27 – $6,153.48 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $326.70 – $6,426.90 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $595.32 – $6,040.53 |
| Bayshore Medical Center | Holmdel | $3,035.44 | $3,035.44 – $3,642.53 |