Stent/athrectomy/fem/pop/unilat 37227 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.
$28,987.00
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.
$1,419.40 with KARNA vs $36,366.00 with UNITED HEALTHCARE — 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 | $1,419.40 | ↓ -93% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $2,379.00 | ↓ -88% |
| CLOVER | MEDICARE ADVANTAGE | $5,217.66 | ↓ -73% |
| AETNA | MANAGED MEDICAID | $5,362.60 | ↓ -73% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $5,942.34 | ↓ -70% |
| AETNA | MEDICARE ADVANTAGE | $6,058.28 | ↓ -69% |
| 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% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $11,920.00 | ↓ -39% |
| AETNA | HMO | $12,074.00 | ↓ -38% |
| AETNA | PPO | $12,074.00 | ↓ -38% |
| BERGEN RISK | ALL PRODUCTS | $15,603.00 | ↓ -20% |
| HORIZON | MANAGED MEDICAID | $18,371.96 | ↓ -6% |
| HORIZON | PIP | $18,870.54 | ↓ -4% |
| HORIZON | WORKERS COMP | $19,476.37 | ↓ -1% |
| WELLCARE | MEDICARE ADVANTAGE | $19,624.54 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $19,624.54 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $19,624.54 | ↑ +0% |
| VACCN | ALL PRODUCTS | $19,624.54 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $20,605.77 | ↑ +5% |
| AETNA | ASA | $22,696.82 | ↑ +16% |
| CIGNA | BH | $23,189.60 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $23,549.45 | ↑ +20% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $24,638.95 | ↑ +26% |
| AMERIHEALTH | LOCAL HMO | $25,172.31 | ↑ +28% |
| QUALCARE | HMO | $26,320.20 | ↑ +34% |
| QUALCARE | WORKERS COMP | $26,320.20 | ↑ +34% |
| QUALCARE | PPO | $26,320.20 | ↑ +34% |
| CIGNA | HMO | $27,720.27 | ↑ +41% |
| CIGNA | PPO | $27,720.27 | ↑ +41% |
| AMERIHEALTH | REGIONAL HMO | $28,511.61 | ↑ +45% |
| OXFORD | ALL PRODUCTS | $28,880.00 | ↑ +47% |
| UNITED HEALTHCARE | HMO | $36,366.00 | ↑ +85% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Stent/athrectomy/fem/pop/unilat 37227 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $5,735.38 – $39,249.08 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $10,829.51 – $40,292.00 |
| Community Medical Center | Toms River | $3,786.00 | $11,090.46 – $39,052.83 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $10,699.03 – $40,090.54 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $5,904.07 – $40,292.00 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $7,422.25 – $42,082.35 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $19,875.58 – $39,552.40 |
| Bayshore Medical Center | Holmdel | $19,875.58 | $19,875.58 – $23,850.69 |