Revasc lith-sten-ath tib/per at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$19,624.54
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.
$54,381.00
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.
$2,379.00 with UNITED HEALTHCARE vs $53,489.15 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 |
|---|---|---|---|
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -88% |
| HORIZON | OMNIA | $7,049.00 | ↓ -64% |
| HORIZON | SHP | $7,963.00 | ↓ -59% |
| HORIZON | INDEMNITY | $8,703.00 | ↓ -56% |
| HORIZON | HMO | $8,706.00 | ↓ -56% |
| HORIZON | PPO | $8,936.00 | ↓ -54% |
| AETNA | HMO | $9,383.00 | ↓ -52% |
| AETNA | PPO | $9,383.00 | ↓ -52% |
| CLOVER | MEDICARE ADVANTAGE | $9,788.58 | ↓ -50% |
| AETNA | MANAGED MEDICAID | $10,060.49 | ↓ -49% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $11,148.11 | ↓ -43% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,920.00 | ↓ -39% |
| BERGEN RISK | ALL PRODUCTS | $15,603.00 | ↓ -20% |
| WELLCARE | MEDICARE ADVANTAGE | $19,624.54 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $19,624.54 | ↑ +0% |
| VACCN | ALL PRODUCTS | $19,624.54 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $19,624.54 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $20,605.77 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $21,390.75 | ↑ +9% |
| OXFORD | ALL PRODUCTS | $21,659.00 | ↑ +10% |
| UNITED HEALTHCARE | DSNP | $23,549.45 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $27,214.00 | ↑ +39% |
| HORIZON | MANAGED MEDICAID | $34,466.68 | ↑ +76% |
| HORIZON | PIP | $35,402.03 | ↑ +80% |
| HORIZON | WORKERS COMP | $36,538.59 | ↑ +86% |
| AETNA | ASA | $42,580.32 | ↑ +117% |
| CIGNA | BH | $43,504.80 | ↑ +122% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $46,223.85 | ↑ +136% |
| AMERIHEALTH | LOCAL HMO | $47,224.46 | ↑ +141% |
| QUALCARE | WORKERS COMP | $49,377.95 | ↑ +152% |
| QUALCARE | HMO | $49,377.95 | ↑ +152% |
| QUALCARE | PPO | $49,377.95 | ↑ +152% |
| CIGNA | HMO | $52,004.55 | ↑ +165% |
| CIGNA | PPO | $52,004.55 | ↑ +165% |
| AMERIHEALTH | REGIONAL HMO | $53,489.15 | ↑ +173% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Revasc lith-sten-ath tib/per at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $4,652.89 | $19,624.54 – $39,249.08 |
| Cooperman Barnabas Medical Center | Livingston | $5,252.78 | $20,146.00 – $40,292.00 |
| Community Medical Center | Toms River | $5,141.23 | $19,624.54 – $39,052.83 |
| Clara Maass Medical Center | Belleville | $3,110.39 | $20,146.00 – $40,090.54 |
| Newark Beth Israel Medical Center | Newark | $5,163.54 | $20,146.00 – $40,292.00 |
| Jersey City Medical Center | Jersey City | $5,151.15 | $21,146.91 – $42,082.35 |
| Monmouth Medical Center | Long Branch | $5,423.83 | $19,875.58 – $39,552.40 |
| Bayshore Medical Center | Holmdel | $19,875.58 | $19,875.58 – $23,850.69 |