Rerepair ing hernia blocked at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$6,819.30
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.
$8,602.00
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.
$1,189.00 with UNITED HEALTHCARE vs $14,007.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -83% |
| KARNA | MEDICARE ADVANTAGE | $1,487.62 | ↓ -78% |
| CLOVER | MEDICARE ADVANTAGE | $1,548.36 | ↓ -77% |
| AETNA | MANAGED MEDICAID | $1,591.37 | ↓ -77% |
| HORIZON | MANAGED MEDICAID | $1,679.00 | ↓ -75% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,763.41 | ↓ -74% |
| QUALCARE | HMO | $2,744.00 | ↓ -60% |
| HORIZON | PIP | $5,599.90 | ↓ -18% |
| HORIZON | WORKERS COMP | $5,779.68 | ↓ -15% |
| HORIZON | OMNIA | $6,211.50 | ↓ -9% |
| BERGEN RISK | ALL PRODUCTS | $6,451.50 | ↓ -5% |
| AETNA | ASA | $6,735.37 | ↓ -1% |
| WELLCARE | MANAGED MEDICAID | $6,819.30 | ↑ +0% |
| VACCN | ALL PRODUCTS | $6,819.30 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $6,819.30 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $6,819.30 | ↑ +0% |
| CIGNA | BH | $6,881.60 | ↑ +1% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $7,160.26 | ↑ +5% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $7,311.70 | ↑ +7% |
| HORIZON | SHP | $7,383.96 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $7,433.03 | ↑ +9% |
| AMERIHEALTH | LOCAL HMO | $7,469.98 | ↑ +10% |
| HORIZON | INDEMNITY | $7,655.78 | ↑ +12% |
| HORIZON | HMO | $7,660.94 | ↑ +12% |
| CIGNA | PPO | $7,732.34 | ↑ +13% |
| CIGNA | HMO | $7,732.34 | ↑ +13% |
| QUALCARE | WORKERS COMP | $7,810.62 | ↑ +15% |
| QUALCARE | PPO | $7,810.62 | ↑ +15% |
| HORIZON | PPO | $7,863.95 | ↑ +15% |
| UNITED HEALTHCARE | DSNP | $8,183.16 | ↑ +20% |
| AMERIHEALTH | REGIONAL HMO | $8,460.93 | ↑ +24% |
| AETNA | HMO | $9,383.00 | ↑ +38% |
| AETNA | PPO | $9,383.00 | ↑ +38% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +46% |
| OXFORD | ALL PRODUCTS | $11,243.00 | ↑ +65% |
| UNITED HEALTHCARE | HMO | $14,007.00 | ↑ +105% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Rerepair ing hernia blocked at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $366.01 – $13,638.60 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $519.58 – $14,001.00 |
| Community Medical Center | Toms River | $3,786.00 | $532.10 – $13,570.41 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $513.32 – $13,931.00 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $376.77 – $14,001.00 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $473.66 – $14,623.12 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,026.64 – $13,743.99 |
| Bayshore Medical Center | Holmdel | $6,906.53 | $6,906.53 – $8,287.84 |