Remove spine infusion device at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$6,998.88
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.
$8,495.00
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.
$627.50 with KARNA vs $23,291.00 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 | $627.50 | ↓ -91% |
| HORIZON | MANAGED MEDICAID | $1,188.00 | ↓ -83% |
| CLOVER | MEDICARE ADVANTAGE | $1,529.10 | ↓ -78% |
| AETNA | MANAGED MEDICAID | $1,571.58 | ↓ -78% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,741.48 | ↓ -75% |
| QUALCARE | HMO | $1,982.00 | ↓ -72% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -66% |
| CIGNA | HMO | $3,133.00 | ↓ -55% |
| CIGNA | PPO | $3,508.00 | ↓ -50% |
| HORIZON | PIP | $5,530.25 | ↓ -21% |
| HORIZON | WORKERS COMP | $5,707.79 | ↓ -18% |
| HORIZON | OMNIA | $6,134.24 | ↓ -12% |
| BERGEN RISK | ALL PRODUCTS | $6,371.25 | ↓ -9% |
| AETNA | ASA | $6,651.59 | ↓ -5% |
| CIGNA | BH | $6,796.00 | ↓ -3% |
| VACCN | ALL PRODUCTS | $6,998.88 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $6,998.88 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $6,998.88 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $6,998.88 | ↑ +0% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,220.75 | ↑ +3% |
| HORIZON | SHP | $7,292.11 | ↑ +4% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $7,348.82 | ↑ +5% |
| AMERIHEALTH | LOCAL HMO | $7,377.06 | ↑ +5% |
| HORIZON | INDEMNITY | $7,560.55 | ↑ +8% |
| HORIZON | HMO | $7,565.65 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $7,628.78 | ↑ +9% |
| QUALCARE | WORKERS COMP | $7,713.46 | ↑ +10% |
| QUALCARE | PPO | $7,713.46 | ↑ +10% |
| HORIZON | PPO | $7,766.13 | ↑ +11% |
| AMERIHEALTH | REGIONAL HMO | $8,355.68 | ↑ +19% |
| UNITED HEALTHCARE | DSNP | $8,398.66 | ↑ +20% |
| AETNA | PPO | $9,383.00 | ↑ +34% |
| AETNA | HMO | $9,383.00 | ↑ +34% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +42% |
| OXFORD | ALL PRODUCTS | $18,565.00 | ↑ +165% |
| UNITED HEALTHCARE | HMO | $23,291.00 | ↑ +233% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Remove spine infusion device at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $154.39 – $13,997.76 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $7,184.85 – $14,369.70 |
| Community Medical Center | Toms River | $3,786.00 | $6,998.88 – $13,927.77 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $7,184.85 – $14,297.85 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $158.93 – $14,369.70 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $199.80 – $15,008.22 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $7,088.41 – $14,105.94 |
| Bayshore Medical Center | Holmdel | $7,088.41 | $7,088.41 – $8,506.09 |