Removal foreign body mouth at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$556.55
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.
$3,809.00
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.
$411.49 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 | $411.49 | ↓ -26% |
| VACCN | ALL PRODUCTS | $556.55 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $556.55 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $556.55 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $556.55 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $584.38 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $606.64 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $667.86 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $685.62 | ↑ +23% |
| AETNA | MANAGED MEDICAID | $704.67 | ↑ +27% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $780.85 | ↑ +40% |
| HORIZON | MANAGED MEDICAID | $1,188.00 | ↑ +113% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +114% |
| QUALCARE | HMO | $1,982.00 | ↑ +256% |
| HORIZON | PIP | $2,479.66 | ↑ +346% |
| HORIZON | WORKERS COMP | $2,559.27 | ↑ +360% |
| HORIZON | OMNIA | $2,750.48 | ↑ +394% |
| OXFORD | ALL PRODUCTS | $2,837.00 | ↑ +410% |
| BERGEN RISK | ALL PRODUCTS | $2,856.75 | ↑ +413% |
| AETNA | ASA | $2,982.45 | ↑ +436% |
| CIGNA | BH | $3,047.20 | ↑ +448% |
| CIGNA | HMO | $3,133.00 | ↑ +463% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,237.65 | ↑ +482% |
| HORIZON | SHP | $3,269.65 | ↑ +487% |
| AMERIHEALTH | LOCAL HMO | $3,307.74 | ↑ +494% |
| UNITED HEALTHCARE | HMO | $3,352.00 | ↑ +502% |
| HORIZON | INDEMNITY | $3,390.01 | ↑ +509% |
| HORIZON | HMO | $3,392.30 | ↑ +510% |
| QUALCARE | PPO | $3,458.57 | ↑ +521% |
| QUALCARE | WORKERS COMP | $3,458.57 | ↑ +521% |
| HORIZON | PPO | $3,482.19 | ↑ +526% |
| CIGNA | PPO | $3,508.00 | ↑ +530% |
| AMERIHEALTH | REGIONAL HMO | $3,746.53 | ↑ +573% |
| AETNA | PPO | $9,383.00 | ↑ +1586% |
| AETNA | HMO | $9,383.00 | ↑ +1586% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +1685% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Removal foreign body mouth at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $29.41 – $1,673.82 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $68.29 – $1,142.68 |
| Community Medical Center | Toms River | $3,786.00 | $69.94 – $1,107.53 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $67.47 – $1,136.97 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $30.27 – $1,142.68 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $38.06 – $1,193.44 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $134.94 – $1,121.70 |
| Bayshore Medical Center | Holmdel | $563.67 | $563.67 – $676.40 |