Rerepair ing hernia reduce at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$3,856.84
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.
$8,099.00
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 | ↓ -69% |
| KARNA | MEDICARE ADVANTAGE | $1,317.74 | ↓ -66% |
| CLOVER | MEDICARE ADVANTAGE | $1,457.82 | ↓ -62% |
| AETNA | MANAGED MEDICAID | $1,498.32 | ↓ -61% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,660.30 | ↓ -57% |
| AETNA | MEDICARE ADVANTAGE | $1,692.69 | ↓ -56% |
| HORIZON | MANAGED MEDICAID | $2,651.00 | ↓ -31% |
| QUALCARE | HMO | $2,744.00 | ↓ -29% |
| VACCN | ALL PRODUCTS | $3,856.84 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,856.84 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,856.84 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,856.84 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $4,049.68 | ↑ +5% |
| UNITED HEALTHCARE | DSNP | $4,628.21 | ↑ +20% |
| HORIZON | PIP | $5,272.45 | ↑ +37% |
| HORIZON | WORKERS COMP | $5,441.72 | ↑ +41% |
| HORIZON | OMNIA | $5,848.29 | ↑ +52% |
| BERGEN RISK | ALL PRODUCTS | $6,074.25 | ↑ +57% |
| AETNA | ASA | $6,341.52 | ↑ +64% |
| CIGNA | BH | $6,479.20 | ↑ +68% |
| CIGNA | HMO | $6,724.00 | ↑ +74% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $6,884.15 | ↑ +78% |
| HORIZON | SHP | $6,952.18 | ↑ +80% |
| AMERIHEALTH | LOCAL HMO | $7,033.17 | ↑ +82% |
| HORIZON | INDEMNITY | $7,208.11 | ↑ +87% |
| HORIZON | HMO | $7,212.97 | ↑ +87% |
| QUALCARE | PPO | $7,353.89 | ↑ +91% |
| QUALCARE | WORKERS COMP | $7,353.89 | ↑ +91% |
| HORIZON | PPO | $7,404.11 | ↑ +92% |
| CIGNA | PPO | $7,532.00 | ↑ +95% |
| AMERIHEALTH | REGIONAL HMO | $7,966.18 | ↑ +107% |
| AETNA | HMO | $9,383.00 | ↑ +143% |
| AETNA | PPO | $9,383.00 | ↑ +143% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +158% |
| OXFORD | ALL PRODUCTS | $11,243.00 | ↑ +192% |
| UNITED HEALTHCARE | HMO | $14,007.00 | ↑ +263% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Rerepair ing hernia reduce at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $324.21 – $7,713.68 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $350.26 – $7,918.64 |
| Community Medical Center | Toms River | $3,786.00 | $358.70 – $7,675.11 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $346.04 – $7,879.05 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $333.74 – $7,918.64 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $379.80 – $8,270.50 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $692.08 – $7,773.30 |
| Bayshore Medical Center | Holmdel | $3,906.18 | $3,906.18 – $4,687.41 |