Revasc lithotrip tibi/perone at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$12,393.88
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.
$34,012.00
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 $33,454.20 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 | ↓ -81% |
| CLOVER | MEDICARE ADVANTAGE | $6,122.16 | ↓ -51% |
| AETNA | MANAGED MEDICAID | $6,292.22 | ↓ -49% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $6,972.46 | ↓ -44% |
| HORIZON | OMNIA | $7,049.00 | ↓ -43% |
| HORIZON | SHP | $7,963.00 | ↓ -36% |
| HORIZON | INDEMNITY | $8,703.00 | ↓ -30% |
| HORIZON | HMO | $8,706.00 | ↓ -30% |
| HORIZON | PPO | $8,936.00 | ↓ -28% |
| AETNA | HMO | $9,383.00 | ↓ -24% |
| AETNA | PPO | $9,383.00 | ↓ -24% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,920.00 | ↓ -4% |
| VACCN | ALL PRODUCTS | $12,393.88 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $12,393.88 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $12,393.88 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $12,393.88 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $13,013.58 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $13,509.33 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $14,872.66 | ↑ +20% |
| BERGEN RISK | ALL PRODUCTS | $15,603.00 | ↑ +26% |
| HORIZON | MANAGED MEDICAID | $21,556.81 | ↑ +74% |
| OXFORD | ALL PRODUCTS | $21,659.00 | ↑ +75% |
| HORIZON | PIP | $22,141.81 | ↑ +79% |
| HORIZON | WORKERS COMP | $22,852.66 | ↑ +84% |
| AETNA | ASA | $26,631.40 | ↑ +115% |
| CIGNA | BH | $27,209.60 | ↑ +120% |
| UNITED HEALTHCARE | HMO | $27,214.00 | ↑ +120% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $28,910.20 | ↑ +133% |
| AMERIHEALTH | LOCAL HMO | $29,536.02 | ↑ +138% |
| QUALCARE | WORKERS COMP | $30,882.90 | ↑ +149% |
| QUALCARE | HMO | $30,882.90 | ↑ +149% |
| QUALCARE | PPO | $30,882.90 | ↑ +149% |
| CIGNA | HMO | $32,525.68 | ↑ +162% |
| CIGNA | PPO | $32,525.68 | ↑ +162% |
| AMERIHEALTH | REGIONAL HMO | $33,454.20 | ↑ +170% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Revasc lithotrip tibi/perone at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $2,757.68 | $12,393.88 – $24,787.76 |
| Cooperman Barnabas Medical Center | Livingston | $3,681.55 | $12,723.21 – $25,446.42 |
| Community Medical Center | Toms River | $3,047.12 | $12,393.88 – $24,663.82 |
| Clara Maass Medical Center | Belleville | $3,068.43 | $12,723.21 – $25,319.19 |
| Newark Beth Israel Medical Center | Newark | $3,619.00 | $12,723.21 – $25,446.42 |
| Jersey City Medical Center | Jersey City | $3,052.99 | $13,355.34 – $26,577.13 |
| Monmouth Medical Center | Long Branch | $3,214.60 | $12,552.42 – $24,979.32 |
| Bayshore Medical Center | Holmdel | $12,552.42 | $12,552.42 – $15,062.91 |