Repair of rectocele 45560 at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$2,997.10
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.
$8,544.00
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.
$1,188.00 with HORIZON vs $14,007.00 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 |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $1,188.00 | ↓ -60% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -60% |
| KARNA | MEDICARE ADVANTAGE | $1,429.38 | ↓ -52% |
| CLOVER | MEDICARE ADVANTAGE | $1,537.92 | ↓ -49% |
| AETNA | MANAGED MEDICAID | $1,580.64 | ↓ -47% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,751.52 | ↓ -42% |
| QUALCARE | HMO | $2,744.00 | ↓ -8% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $2,997.10 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $2,997.10 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $2,997.10 | ↑ +0% |
| VACCN | ALL PRODUCTS | $2,997.10 | ↑ +0% |
| CIGNA | HMO | $3,133.00 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,146.96 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,266.84 | ↑ +9% |
| CIGNA | PPO | $3,508.00 | ↑ +17% |
| UNITED HEALTHCARE | DSNP | $3,596.52 | ↑ +20% |
| HORIZON | PIP | $5,562.14 | ↑ +86% |
| HORIZON | WORKERS COMP | $5,740.71 | ↑ +92% |
| HORIZON | OMNIA | $6,169.62 | ↑ +106% |
| BERGEN RISK | ALL PRODUCTS | $6,408.00 | ↑ +114% |
| AETNA | ASA | $6,689.95 | ↑ +123% |
| CIGNA | BH | $6,835.20 | ↑ +128% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,262.40 | ↑ +142% |
| HORIZON | SHP | $7,334.17 | ↑ +145% |
| AMERIHEALTH | LOCAL HMO | $7,419.61 | ↑ +148% |
| HORIZON | INDEMNITY | $7,604.16 | ↑ +154% |
| HORIZON | HMO | $7,609.29 | ↑ +154% |
| QUALCARE | PPO | $7,757.95 | ↑ +159% |
| QUALCARE | WORKERS COMP | $7,757.95 | ↑ +159% |
| HORIZON | PPO | $7,810.92 | ↑ +161% |
| AMERIHEALTH | REGIONAL HMO | $8,403.88 | ↑ +180% |
| AETNA | HMO | $9,383.00 | ↑ +213% |
| AETNA | PPO | $9,383.00 | ↑ +213% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +231% |
| OXFORD | ALL PRODUCTS | $11,243.00 | ↑ +275% |
| UNITED HEALTHCARE | HMO | $14,007.00 | ↑ +367% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Repair of rectocele 45560 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $351.68 – $5,994.20 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $237.38 – $6,153.48 |
| Community Medical Center | Toms River | $3,786.00 | $243.10 – $5,964.23 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $234.52 – $6,122.71 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $362.02 – $6,153.48 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $257.40 – $6,426.90 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $469.04 – $6,040.53 |
| Bayshore Medical Center | Holmdel | $3,035.44 | $3,035.44 – $3,642.53 |