Surgical pathology level 1 gross examination only at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$26.76
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.
$154.00
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.
$26.76 with WELLCARE vs $151.47 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 |
|---|---|---|---|
| WELLCARE | MEDICARE ADVANTAGE | $26.76 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $26.76 | ↑ +0% |
| VACCN | ALL PRODUCTS | $26.76 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $26.76 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $28.10 | ↑ +5% |
| AETNA | MANAGED MEDICAID | $28.49 | ↑ +6% |
| AETNA | MEDICARE ADVANTAGE | $29.17 | ↑ +9% |
| KARNA | MEDICARE ADVANTAGE | $30.06 | ↑ +12% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $30.76 | ↑ +15% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $31.57 | ↑ +18% |
| UNITED HEALTHCARE | DSNP | $32.12 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $50.64 | ↑ +89% |
| OXFORD | ALL PRODUCTS | $83.31 | ↑ +211% |
| HORIZON | PIP | $100.25 | ↑ +275% |
| HORIZON | WORKERS COMP | $103.47 | ↑ +287% |
| HORIZON | OMNIA | $111.20 | ↑ +316% |
| BERGEN RISK | ALL PRODUCTS | $115.50 | ↑ +332% |
| AETNA | ASA | $120.58 | ↑ +351% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $123.20 | ↑ +360% |
| CIGNA | BH | $123.20 | ↑ +360% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $130.90 | ↑ +389% |
| AETNA | PPO | $131.21 | ↑ +390% |
| AETNA | HMO | $131.21 | ↑ +390% |
| HORIZON | SHP | $132.19 | ↑ +394% |
| AMERIHEALTH | LOCAL HMO | $133.73 | ↑ +400% |
| HORIZON | INDEMNITY | $137.06 | ↑ +412% |
| HORIZON | HMO | $137.15 | ↑ +413% |
| QUALCARE | WORKERS COMP | $139.83 | ↑ +423% |
| QUALCARE | HMO | $139.83 | ↑ +423% |
| QUALCARE | PPO | $139.83 | ↑ +423% |
| HORIZON | PPO | $140.79 | ↑ +426% |
| CIGNA | PPO | $147.27 | ↑ +450% |
| CIGNA | HMO | $147.27 | ↑ +450% |
| AMERIHEALTH | REGIONAL HMO | $151.47 | ↑ +466% |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| HORIZON | MANAGED MEDICAID | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 1 gross examination only at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $27.59 | $11.73 – $53.52 |
| Cooperman Barnabas Medical Center | Livingston | $46.40 | $11.73 – $54.96 |
| Community Medical Center | Toms River | $30.48 | $11.73 – $53.25 |
| Clara Maass Medical Center | Belleville | $36.00 | $11.73 – $54.69 |
| Newark Beth Israel Medical Center | Newark | $45.61 | $11.73 – $54.96 |
| Jersey City Medical Center | Jersey City | $30.54 | $11.73 – $57.39 |
| Monmouth Medical Center | Long Branch | $32.16 | $11.73 – $53.95 |
| Bayshore Medical Center | Holmdel | $27.11 | $27.11 – $50.64 |