Revasc lithotrip tibi/perone at Southern Ocean Medical Center

1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590

Source: hospital's published price file ↗ · Published Dec 31, 2025 · Ingested Sep 4, 2026

$12,393.88

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$34,012.00

Gross charge

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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.

Full explanation →

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 →

Payer
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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
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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

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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

All New-jersey hospitals for this procedure →