Repair eyelid defect at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$2,549.65
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.
$5,035.00
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.
$650.42 with KARNA vs $10,216.00 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 | $650.42 | ↓ -74% |
| CLOVER | MEDICARE ADVANTAGE | $906.30 | ↓ -64% |
| AETNA | MANAGED MEDICAID | $931.48 | ↓ -63% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,032.18 | ↓ -60% |
| AETNA | MEDICARE ADVANTAGE | $1,052.32 | ↓ -59% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -53% |
| HORIZON | MANAGED MEDICAID | $1,361.00 | ↓ -47% |
| QUALCARE | HMO | $2,255.00 | ↓ -12% |
| VACCN | ALL PRODUCTS | $2,549.65 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,549.65 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,549.65 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,549.65 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $2,677.13 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $3,059.57 | ↑ +20% |
| HORIZON | PIP | $3,277.79 | ↑ +29% |
| HORIZON | WORKERS COMP | $3,383.02 | ↑ +33% |
| CIGNA | HMO | $3,586.00 | ↑ +41% |
| HORIZON | OMNIA | $3,635.77 | ↑ +43% |
| BERGEN RISK | ALL PRODUCTS | $3,776.25 | ↑ +48% |
| AETNA | ASA | $3,942.41 | ↑ +55% |
| CIGNA | PPO | $4,011.00 | ↑ +57% |
| CIGNA | BH | $4,028.00 | ↑ +58% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,279.75 | ↑ +68% |
| HORIZON | SHP | $4,322.04 | ↑ +70% |
| AMERIHEALTH | LOCAL HMO | $4,372.39 | ↑ +71% |
| HORIZON | INDEMNITY | $4,481.15 | ↑ +76% |
| HORIZON | HMO | $4,484.17 | ↑ +76% |
| QUALCARE | PPO | $4,571.78 | ↑ +79% |
| QUALCARE | WORKERS COMP | $4,571.78 | ↑ +79% |
| HORIZON | PPO | $4,603.00 | ↑ +81% |
| AMERIHEALTH | REGIONAL HMO | $4,952.43 | ↑ +94% |
| OXFORD | ALL PRODUCTS | $8,251.00 | ↑ +224% |
| AETNA | PPO | $9,383.00 | ↑ +268% |
| AETNA | HMO | $9,383.00 | ↑ +268% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +290% |
| UNITED HEALTHCARE | HMO | $10,216.00 | ↑ +301% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Repair eyelid defect at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $49.45 – $5,099.30 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $69.72 – $5,234.78 |
| Community Medical Center | Toms River | $3,786.00 | $71.40 – $5,073.80 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $68.88 – $5,208.61 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $50.90 – $5,234.78 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $63.99 – $5,467.39 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $137.76 – $5,138.70 |
| Bayshore Medical Center | Holmdel | $2,582.26 | $2,582.26 – $3,098.71 |