Remove brain canal fluid at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$322.61
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.
$3,341.00
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.
$162.48 with KARNA vs $8,077.00 with HORIZON — 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 | $162.48 | ↓ -50% |
| WELLCARE | MEDICARE ADVANTAGE | $322.61 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $322.61 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $322.61 | ↑ +0% |
| VACCN | ALL PRODUCTS | $322.61 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $338.74 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $351.64 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $387.13 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $601.38 | ↑ +86% |
| AETNA | MANAGED MEDICAID | $618.09 | ↑ +92% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $684.91 | ↑ +112% |
| HORIZON | PIP | $2,174.99 | ↑ +574% |
| HORIZON | WORKERS COMP | $2,244.82 | ↑ +596% |
| OXFORD | ALL PRODUCTS | $2,375.12 | ↑ +636% |
| UNITED HEALTHCARE | HMO | $2,595.29 | ↑ +704% |
| AETNA | ASA | $2,616.00 | ↑ +711% |
| CIGNA | BH | $2,672.80 | ↑ +728% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,839.85 | ↑ +780% |
| QUALCARE | WORKERS COMP | $3,033.63 | ↑ +840% |
| QUALCARE | PPO | $3,033.63 | ↑ +840% |
| QUALCARE | HMO | $3,033.63 | ↑ +840% |
| HORIZON | SHP | $7,264.00 | ↑ +2152% |
| HORIZON | INDEMNITY | $7,867.00 | ↑ +2339% |
| HORIZON | HMO | $7,869.00 | ↑ +2339% |
| HORIZON | PPO | $8,077.00 | ↑ +2404% |
| AETNA | HMO | not published by hospital | — |
| CIGNA | HMO | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| HORIZON | OMNIA | not published by hospital | — |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | not published by hospital | — |
| BERGEN RISK | ALL PRODUCTS | not published by hospital | — |
| AMERIHEALTH | REGIONAL HMO | not published by hospital | — |
| AMERIHEALTH | LOCAL HMO | not published by hospital | — |
| UNITED HEALTHCARE | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| AETNA | PPO | not published by hospital | — |
| CIGNA | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Remove brain canal fluid at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $39.97 – $645.22 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $72.31 – $662.36 |
| Community Medical Center | Toms River | $3,786.00 | $74.05 – $641.99 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $71.44 – $659.05 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $41.15 – $662.36 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $51.73 – $691.78 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $142.88 – $650.19 |
| Bayshore Medical Center | Holmdel | $326.73 | $326.73 – $392.08 |