Small bowel endoscopy at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$1,024.64
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.
$2,842.00
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.
$151.71 with KARNA vs $9,933.00 with BRIGHTON HEALTH PLAN — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $151.71 | ↓ -85% |
| CLOVER | MEDICARE ADVANTAGE | $511.56 | ↓ -50% |
| AETNA | MANAGED MEDICAID | $525.77 | ↓ -49% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $582.61 | ↓ -43% |
| HORIZON | MANAGED MEDICAID | $903.00 | ↓ -12% |
| WELLCARE | MEDICARE ADVANTAGE | $1,024.64 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $1,024.64 | ↑ +0% |
| VACCN | ALL PRODUCTS | $1,024.64 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $1,024.64 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $1,075.87 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $1,116.86 | ↑ +9% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $1,229.57 | ↑ +20% |
| HORIZON | PIP | $1,850.14 | ↑ +81% |
| HORIZON | WORKERS COMP | $1,909.54 | ↑ +86% |
| QUALCARE | HMO | $1,982.00 | ↑ +93% |
| HORIZON | OMNIA | $2,052.21 | ↑ +100% |
| BERGEN RISK | ALL PRODUCTS | $2,131.50 | ↑ +108% |
| AETNA | ASA | $2,225.29 | ↑ +117% |
| CIGNA | HMO | $2,249.00 | ↑ +119% |
| CIGNA | BH | $2,273.60 | ↑ +122% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $2,415.70 | ↑ +136% |
| HORIZON | SHP | $2,439.57 | ↑ +138% |
| AMERIHEALTH | LOCAL HMO | $2,467.99 | ↑ +141% |
| CIGNA | PPO | $2,518.00 | ↑ +146% |
| HORIZON | INDEMNITY | $2,529.38 | ↑ +147% |
| HORIZON | HMO | $2,531.09 | ↑ +147% |
| QUALCARE | WORKERS COMP | $2,580.54 | ↑ +152% |
| QUALCARE | PPO | $2,580.54 | ↑ +152% |
| HORIZON | PPO | $2,598.16 | ↑ +154% |
| AMERIHEALTH | REGIONAL HMO | $2,795.39 | ↑ +173% |
| OXFORD | ALL PRODUCTS | $6,189.00 | ↑ +504% |
| UNITED HEALTHCARE | HMO | $7,601.00 | ↑ +642% |
| AETNA | HMO | $9,383.00 | ↑ +816% |
| AETNA | PPO | $9,383.00 | ↑ +816% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +869% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Small bowel endoscopy at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $155.42 – $2,049.28 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $167.66 – $2,103.74 |
| Community Medical Center | Toms River | $3,786.00 | $171.70 – $2,039.03 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $165.64 – $2,093.22 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $159.99 – $2,103.74 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $181.80 – $2,197.22 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $331.28 – $2,065.12 |
| Bayshore Medical Center | Holmdel | $1,037.75 | $1,037.75 – $1,245.30 |