Removal of toe lesions at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$1,749.06
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.
$4,369.00
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.
$573.97 with KARNA 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $573.97 | ↓ -67% |
| CLOVER | MEDICARE ADVANTAGE | $786.42 | ↓ -55% |
| AETNA | MANAGED MEDICAID | $808.27 | ↓ -54% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $895.65 | ↓ -49% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -32% |
| HORIZON | MANAGED MEDICAID | $1,361.00 | ↓ -22% |
| VACCN | ALL PRODUCTS | $1,749.06 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,749.06 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,749.06 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,749.06 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,836.51 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,906.47 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $2,098.87 | ↑ +20% |
| QUALCARE | HMO | $2,255.00 | ↑ +29% |
| HORIZON | PIP | $2,844.22 | ↑ +63% |
| HORIZON | WORKERS COMP | $2,935.53 | ↑ +68% |
| HORIZON | OMNIA | $3,154.85 | ↑ +80% |
| BERGEN RISK | ALL PRODUCTS | $3,276.75 | ↑ +87% |
| AETNA | ASA | $3,420.93 | ↑ +96% |
| CIGNA | BH | $3,495.20 | ↑ +100% |
| CIGNA | HMO | $3,586.00 | ↑ +105% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $3,713.65 | ↑ +112% |
| HORIZON | SHP | $3,750.35 | ↑ +114% |
| AMERIHEALTH | LOCAL HMO | $3,794.04 | ↑ +117% |
| HORIZON | INDEMNITY | $3,888.41 | ↑ +122% |
| HORIZON | HMO | $3,891.03 | ↑ +122% |
| QUALCARE | PPO | $3,967.05 | ↑ +127% |
| QUALCARE | WORKERS COMP | $3,967.05 | ↑ +127% |
| HORIZON | PPO | $3,994.14 | ↑ +128% |
| CIGNA | PPO | $4,011.00 | ↑ +129% |
| AMERIHEALTH | REGIONAL HMO | $4,297.35 | ↑ +146% |
| OXFORD | ALL PRODUCTS | $8,251.00 | ↑ +372% |
| AETNA | PPO | $9,383.00 | ↑ +436% |
| AETNA | HMO | $9,383.00 | ↑ +436% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +468% |
| UNITED HEALTHCARE | HMO | $10,216.00 | ↑ +484% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Removal of toe lesions at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $218.77 – $3,498.12 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $167.08 – $3,591.06 |
| Community Medical Center | Toms River | $3,786.00 | $171.11 – $3,480.63 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $165.07 – $3,573.10 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $225.20 – $3,591.06 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $181.17 – $3,750.63 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $330.13 – $3,525.15 |
| Bayshore Medical Center | Holmdel | $1,771.43 | $1,771.43 – $2,125.72 |