Surgical pathology level 4 gross & microscopic examination at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$58.39
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.
?
What you pay up front if you don't use insurance.
$1,519.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$39.78 with AETNA vs $211.47 with AMERIHEALTH — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $39.78 | ↓ -32% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $44.08 | ↓ -25% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $58.39 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $58.39 | ↑ +0% |
| VACCN | ALL PRODUCTS | $58.39 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $58.39 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $61.31 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $63.65 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $70.07 | ↑ +20% |
| UNITED HEALTHCARE | HMO | $102.13 | ↑ +75% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $115.86 | ↑ +98% |
| OXFORD | ALL PRODUCTS | $116.32 | ↑ +99% |
| KARNA | MEDICARE ADVANTAGE | $130.61 | ↑ +124% |
| HORIZON | MANAGED MEDICAID | $136.27 | ↑ +133% |
| HORIZON | PIP | $139.97 | ↑ +140% |
| HORIZON | WORKERS COMP | $144.46 | ↑ +147% |
| HORIZON | OMNIA | $155.25 | ↑ +166% |
| BERGEN RISK | ALL PRODUCTS | $161.25 | ↑ +176% |
| AETNA | ASA | $168.35 | ↑ +188% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $172.00 | ↑ +195% |
| CIGNA | BH | $172.00 | ↑ +195% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $182.75 | ↑ +213% |
| AETNA | PPO | $183.18 | ↑ +214% |
| AETNA | HMO | $183.18 | ↑ +214% |
| HORIZON | SHP | $184.56 | ↑ +216% |
| AMERIHEALTH | LOCAL HMO | $186.71 | ↑ +220% |
| HORIZON | INDEMNITY | $191.35 | ↑ +228% |
| HORIZON | HMO | $191.48 | ↑ +228% |
| QUALCARE | PPO | $195.22 | ↑ +234% |
| QUALCARE | HMO | $195.22 | ↑ +234% |
| QUALCARE | WORKERS COMP | $195.22 | ↑ +234% |
| HORIZON | PPO | $196.55 | ↑ +237% |
| CIGNA | HMO | $205.60 | ↑ +252% |
| CIGNA | PPO | $205.60 | ↑ +252% |
| AMERIHEALTH | REGIONAL HMO | $211.47 | ↑ +262% |
| CLOVER | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $80.52 | $23.57 – $182.60 |
| Cooperman Barnabas Medical Center | Livingston | $175.24 | $23.57 – $142.71 |
| Community Medical Center | Toms River | $88.97 | $23.57 – $142.71 |
| Clara Maass Medical Center | Belleville | $162.89 | $23.57 – $142.71 |
| Newark Beth Israel Medical Center | Newark | $172.26 | $23.57 – $142.71 |
| Jersey City Medical Center | Jersey City | $89.14 | $23.57 – $142.71 |
| Monmouth Medical Center | Long Branch | $93.86 | $23.57 – $142.71 |
| Bayshore Medical Center | Holmdel | $59.14 | $59.14 – $102.13 |