Treatment of urethra lesion at Southern Ocean Medical Center
1140 Route 72 West, Manahawkin, NJ · Hackensack Meridian Health · · NPI 1831601590
$3,769.31
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.
$5,470.00
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.
$375.19 with KARNA vs $10,216.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $375.19 | ↓ -90% |
| CLOVER | MEDICARE ADVANTAGE | $984.60 | ↓ -74% |
| AETNA | MANAGED MEDICAID | $1,011.95 | ↓ -73% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,121.35 | ↓ -70% |
| HORIZON | MANAGED MEDICAID | $1,188.00 | ↓ -68% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -68% |
| QUALCARE | HMO | $1,982.00 | ↓ -47% |
| CIGNA | HMO | $3,133.00 | ↓ -17% |
| CIGNA | PPO | $3,508.00 | ↓ -7% |
| HORIZON | PIP | $3,560.97 | ↓ -6% |
| HORIZON | WORKERS COMP | $3,675.29 | ↓ -2% |
| WELLCARE | MEDICARE ADVANTAGE | $3,769.31 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,769.31 | ↑ +0% |
| VACCN | ALL PRODUCTS | $3,769.31 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,769.31 | ↑ +0% |
| HORIZON | OMNIA | $3,949.89 | ↑ +5% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,957.78 | ↑ +5% |
| BERGEN RISK | ALL PRODUCTS | $4,102.50 | ↑ +9% |
| AETNA | MEDICARE ADVANTAGE | $4,108.55 | ↑ +9% |
| AETNA | ASA | $4,283.01 | ↑ +14% |
| CIGNA | BH | $4,376.00 | ↑ +16% |
| UNITED HEALTHCARE | DSNP | $4,523.17 | ↑ +20% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,649.50 | ↑ +23% |
| HORIZON | SHP | $4,695.45 | ↑ +25% |
| AMERIHEALTH | LOCAL HMO | $4,750.15 | ↑ +26% |
| HORIZON | INDEMNITY | $4,868.30 | ↑ +29% |
| HORIZON | HMO | $4,871.58 | ↑ +29% |
| QUALCARE | PPO | $4,966.76 | ↑ +32% |
| QUALCARE | WORKERS COMP | $4,966.76 | ↑ +32% |
| HORIZON | PPO | $5,000.67 | ↑ +33% |
| AMERIHEALTH | REGIONAL HMO | $5,380.29 | ↑ +43% |
| OXFORD | ALL PRODUCTS | $8,251.00 | ↑ +119% |
| AETNA | PPO | $9,383.00 | ↑ +149% |
| AETNA | HMO | $9,383.00 | ↑ +149% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +164% |
| UNITED HEALTHCARE | HMO | $10,216.00 | ↑ +171% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Treatment of urethra lesion at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $106.36 – $7,538.62 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $60.26 – $7,738.94 |
| Community Medical Center | Toms River | $3,786.00 | $61.71 – $7,500.93 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $59.53 – $7,700.25 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $109.26 – $7,738.94 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $65.34 – $8,082.80 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $119.06 – $7,596.88 |
| Bayshore Medical Center | Holmdel | $3,817.53 | $3,817.53 – $4,581.03 |