Removal of hydroceles at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$3,856.84
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.
$8,455.00
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.
$1,059.75 with KARNA vs $14,007.00 with UNITED HEALTHCARE — 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 | $1,059.75 | ↓ -73% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -69% |
| CLOVER | MEDICARE ADVANTAGE | $1,521.90 | ↓ -61% |
| AETNA | MANAGED MEDICAID | $1,564.18 | ↓ -59% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,733.28 | ↓ -55% |
| HORIZON | MANAGED MEDICAID | $1,915.00 | ↓ -50% |
| QUALCARE | HMO | $2,744.00 | ↓ -29% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,856.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,856.84 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,856.84 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,856.84 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,049.68 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4,203.95 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4,628.21 | ↑ +20% |
| CIGNA | HMO | $5,022.00 | ↑ +30% |
| HORIZON | PIP | $5,504.21 | ↑ +43% |
| CIGNA | PPO | $5,631.00 | ↑ +46% |
| HORIZON | WORKERS COMP | $5,680.91 | ↑ +47% |
| HORIZON | OMNIA | $6,105.36 | ↑ +58% |
| BERGEN RISK | ALL PRODUCTS | $6,341.25 | ↑ +64% |
| AETNA | ASA | $6,620.27 | ↑ +72% |
| CIGNA | BH | $6,764.00 | ↑ +75% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,186.75 | ↑ +86% |
| HORIZON | SHP | $7,257.77 | ↑ +88% |
| AMERIHEALTH | LOCAL HMO | $7,342.32 | ↑ +90% |
| HORIZON | INDEMNITY | $7,524.95 | ↑ +95% |
| HORIZON | HMO | $7,530.02 | ↑ +95% |
| QUALCARE | PPO | $7,677.14 | ↑ +99% |
| QUALCARE | WORKERS COMP | $7,677.14 | ↑ +99% |
| HORIZON | PPO | $7,729.56 | ↑ +100% |
| AMERIHEALTH | REGIONAL HMO | $8,316.34 | ↑ +116% |
| AETNA | HMO | $9,383.00 | ↑ +143% |
| AETNA | PPO | $9,383.00 | ↑ +143% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +158% |
| OXFORD | ALL PRODUCTS | $11,243.00 | ↑ +192% |
| UNITED HEALTHCARE | HMO | $14,007.00 | ↑ +263% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Removal of hydroceles at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $260.73 – $7,713.68 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $343.62 – $7,918.64 |
| Community Medical Center | Toms River | $3,786.00 | $351.90 – $7,675.11 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $339.48 – $7,879.05 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $268.40 – $7,918.64 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $337.42 – $8,270.50 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $678.96 – $7,773.30 |
| Bayshore Medical Center | Holmdel | $3,906.18 | $3,906.18 – $4,687.41 |