Remove hand bone lesion 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.
$6,508.00
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.
$961.13 with KARNA vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 | $961.13 | ↓ -45% |
| CLOVER | MEDICARE ADVANTAGE | $1,171.44 | ↓ -33% |
| HORIZON | MANAGED MEDICAID | $1,188.00 | ↓ -32% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -32% |
| AETNA | MANAGED MEDICAID | $1,203.98 | ↓ -31% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,334.14 | ↓ -24% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,749.06 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $1,749.06 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,749.06 | ↑ +0% |
| VACCN | ALL PRODUCTS | $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% |
| CIGNA | HMO | $3,133.00 | ↑ +79% |
| CIGNA | PPO | $3,508.00 | ↑ +101% |
| HORIZON | PIP | $4,236.71 | ↑ +142% |
| HORIZON | WORKERS COMP | $4,372.73 | ↑ +150% |
| HORIZON | OMNIA | $4,699.43 | ↑ +169% |
| BERGEN RISK | ALL PRODUCTS | $4,881.00 | ↑ +179% |
| AETNA | ASA | $5,095.76 | ↑ +191% |
| CIGNA | BH | $5,206.40 | ↑ +198% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $5,531.80 | ↑ +216% |
| HORIZON | SHP | $5,586.47 | ↑ +219% |
| AMERIHEALTH | LOCAL HMO | $5,651.55 | ↑ +223% |
| HORIZON | INDEMNITY | $5,792.12 | ↑ +231% |
| HORIZON | HMO | $5,796.02 | ↑ +231% |
| QUALCARE | PPO | $5,909.26 | ↑ +238% |
| QUALCARE | WORKERS COMP | $5,909.26 | ↑ +238% |
| HORIZON | PPO | $5,949.61 | ↑ +240% |
| OXFORD | ALL PRODUCTS | $6,189.00 | ↑ +254% |
| AMERIHEALTH | REGIONAL HMO | $6,401.27 | ↑ +266% |
| UNITED HEALTHCARE | HMO | $7,601.00 | ↑ +335% |
| AETNA | HMO | $9,383.00 | ↑ +436% |
| AETNA | PPO | $9,383.00 | ↑ +436% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +468% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Remove hand bone lesion at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $236.48 – $3,498.12 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $324.98 – $3,591.06 |
| Community Medical Center | Toms River | $3,786.00 | $332.81 – $3,480.63 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $321.06 – $3,573.10 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $243.43 – $3,591.06 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $306.03 – $3,750.63 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $642.13 – $3,525.15 |
| Bayshore Medical Center | Holmdel | $1,771.43 | $1,771.43 – $2,125.72 |