Repair of bladder opening at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$3,769.31
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.
$11,087.00
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.
$903.00 with HORIZON vs $10,905.17 with AMERIHEALTH — 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $903.00 | ↓ -76% |
| KARNA | MEDICARE ADVANTAGE | $963.40 | ↓ -74% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -68% |
| QUALCARE | HMO | $1,982.00 | ↓ -47% |
| CLOVER | MEDICARE ADVANTAGE | $1,995.66 | ↓ -47% |
| AETNA | MANAGED MEDICAID | $2,051.10 | ↓ -46% |
| CIGNA | HMO | $2,249.00 | ↓ -40% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $2,272.84 | ↓ -40% |
| CIGNA | PPO | $2,518.00 | ↓ -33% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,769.31 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,769.31 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,769.31 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,769.31 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,957.78 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $4,108.55 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $4,523.17 | ↑ +20% |
| HORIZON | OMNIA | $7,049.00 | ↑ +87% |
| HORIZON | PIP | $7,217.64 | ↑ +91% |
| HORIZON | WORKERS COMP | $7,449.36 | ↑ +98% |
| HORIZON | SHP | $7,963.00 | ↑ +111% |
| OXFORD | ALL PRODUCTS | $8,251.00 | ↑ +119% |
| BERGEN RISK | ALL PRODUCTS | $8,315.25 | ↑ +121% |
| AETNA | ASA | $8,681.12 | ↑ +130% |
| HORIZON | INDEMNITY | $8,703.00 | ↑ +131% |
| HORIZON | HMO | $8,706.00 | ↑ +131% |
| CIGNA | BH | $8,869.60 | ↑ +135% |
| HORIZON | PPO | $8,936.00 | ↑ +137% |
| AETNA | HMO | $9,383.00 | ↑ +149% |
| AETNA | PPO | $9,383.00 | ↑ +149% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $9,423.95 | ↑ +150% |
| AMERIHEALTH | LOCAL HMO | $9,627.95 | ↑ +155% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +164% |
| QUALCARE | PPO | $10,067.00 | ↑ +167% |
| QUALCARE | WORKERS COMP | $10,067.00 | ↑ +167% |
| UNITED HEALTHCARE | HMO | $10,216.00 | ↑ +171% |
| AMERIHEALTH | REGIONAL HMO | $10,905.17 | ↑ +189% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Repair of bladder opening at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $237.03 – $7,538.62 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $336.40 – $7,738.94 |
| Community Medical Center | Toms River | $3,786.00 | $344.51 – $7,500.93 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $332.35 – $7,700.25 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $244.00 – $7,738.94 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $306.74 – $8,082.80 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $664.69 – $7,596.88 |
| Bayshore Medical Center | Holmdel | $3,817.53 | $3,817.53 – $4,581.03 |